DR. JONATHAN DAVID LARSON (NPI# 1922294008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922294008 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID LARSON |
| Credential | M.D. |
| Practice Address |
8401 Datapoint Dr Suite 500 San Antonio TX 78229-5900 |
| Practice Telephone | 2106140180 |
| Practice Fax Number | 2106157170 |
| Mailing Telephone | 2106140180 |
| Mailing Fax Number | 2106157170 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2009-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | A101354 | CA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | N2618 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX | 8CA609 | 01 |
| TX | 203048801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467949271 | Jonathan Larson | Behavior Technician | 8700 E 29th St N, Wichita, KS 67226-2169 | 2018-04-17 |
| 1639516503 | Jonathan Larson | Radiology | 1 Gustave L Levy Pl Dept Of, New York, NY 10029 | 2013-05-31 |
| 1619174117 | Jonathan Mychal Larson | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-06-28 |
| 1912061458 | Jonathan Larson | Optometrist | 1605 1st St S, Willmar, MN 56201-4234 | 2006-12-20 |
| 1356420079 | Jonathan M Larson | Family Medicine | 424 W State Highway 5, Waconia, MN 55387-1723 | 2006-11-03 |
| Street Address |
8401 DATAPOINT DR SUITE 500 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877851 | San Antonio Preventive & Diagnostic Medicine | Internal Medicine | 8401 Datapoint Dr, #401, San Antonio, TX 78229-5900 | 2005-08-09 |
| 1134726771 | Samantha Salinas | Nurse Practitioner | 8401 Datapoint Dr, San Antonio, TX 78229-5900 | 2020-10-06 |
| 1013384320 | Paul Chen | Physician Assistant | 8401 Datapoint Dr, Suite 700, San Antonio, TX 78229-5900 | 2015-08-24 |
| 1164823712 | Dustin Wayne Janzen | Specialist/Technologist, Other | 8401 Datapoint Dr, Ste 700, San Antonio, TX 78229-5907 | 2014-09-12 |
| 1225461429 | Christine Marie Peterson | Nurse Practitioner | 8401 Datapoint Dr, Suite 865, San Antonio, TX 78229-5900 | 2013-08-12 |
| 1659710648 | Paula Lynn Montanaro | Nurse Practitioner | 8401 Datapoint Dr, Suite 865, San Antonio, TX 78229-5900 | 2013-06-23 |
| 1093158024 | Stephen Douglas Dooley | Radiology | 8401 Datapoint Dr, San Antonio, TX 78229-5900 | 2013-04-09 |
| 1366701567 | Brandon Childers | Radiology | 8401 Datapoint Dr, Ste 600, San Antonio, TX 78229 | 2012-05-08 |
| 1841597887 | Renee Hamilton | Emergency Medicine | 8401 Datapoint Dr, Ste 500, San Antonio, TX 78229-5907 | 2011-02-25 |
| 1346564408 | Kathleen Fanning Leibowitz | Nurse Practitioner | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5900 | 2010-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1013421544 | Usacs Emergency Medicine Services of Texas, Pllc | Emergency Medicine | 7719 Interstate 35 S, San Antonio, TX 78224-1469 | 2017-11-20 |
| 1508384975 | Fred David Prentice | Emergency Medicine | 7 Venice Ct, San Antonio, TX 78257-1310 | 2017-09-06 |
| 1720435571 | Matthew Michael Hessel | Emergency Medicine | 3551 Roger Brooke Drive - Emergency Medicine Department, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2016-05-23 |
| 1164817946 | Roland Manuel Dimaya | Emergency Medicine | 11503 Nw Military Hwy Ste 202, San Antonio, TX 78231-1895 | 2015-03-30 |
| 1437402724 | James Richard Leininger | Emergency Medicine | 18615 Tuscany Stone, Suite 200, San Antonio, TX 78258-3502 | 2012-10-24 |
| 1982966099 | Matthew Weldon Cross | Emergency Medicine | 410 E Wildwood Dr, San Antonio, TX 78212-1758 | 2012-06-13 |
| 1518238773 | Susan Lee Howle | Emergency Medicine | 7419 Wild Eagle St, San Antonio, TX 78255-1148 | 2012-01-19 |
| 1730472135 | Christina B Lumbreras | Emergency Medicine | 6263 Valley Bay Dr, San Antonio, TX 78250-5785 | 2011-05-18 |
| 1700176773 | Bryan Mathew Thomas | Emergency Medicine | 2022 Riva Ridge St, San Antonio, TX 78248-1143 | 2011-04-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.