DR. ROBERT DOUGLAS LARSON (NPI# 1942200233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942200233 |
Entity Type | Individual |
Full Name | DR. ROBERT DOUGLAS LARSON |
Credential | D.C. |
Practice Address |
3241 E Shea Blvd Phoenix AZ 85028-3335 |
Practice Telephone | 6029963601 |
Practice Fax Number | 6029960068 |
Mailing Telephone | 6029963601 |
Mailing Fax Number | 6029960068 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2007-07-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5128 | AZ | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841608130 | Robert Larson | Community Health Worker | 6592 49th St N, Oakdale, MN 55128-2001 | 2014-07-30 |
1710171483 | Robert Gardner Larson | Dentist | 6070 N Keystone Ave, Indianapolis, IN 46220-2585 | 2007-09-05 |
1194942763 | Robert Louis Larson | Dentist | 260 Country Club Rd, Suite 220, Eugene, OR 97401-6026 | 2007-04-18 |
1205952165 | Robert C. Larson | Chiropractor | 2981 Us Route 7, Pittsford, VT 05763 | 2007-03-22 |
1952478489 | Robert Frank Larson | Dentist | 201 4th Ave Nw, Roseau, MN 56751-1033 | 2006-11-29 |
1366532913 | Robert Larson | Podiatrist | 4701 N. Las Vegas Blvd., N. Las Vegas, NV 89191 | 2006-10-13 |
1467547059 | Robert A Larson | Dentist | 412 S 13th St, Sunnyside, WA 98944-1571 | 2006-10-03 |
1780787929 | Robert L Larson | Chiropractor | 2147 Overland Ave, Suite 101, Billings, MT 59102-6478 | 2006-09-06 |
1801867197 | Robert Owen Larson | Dentist | 15101 E Iliff Ave, Suite Number 280, Aurora, CO 80014-4543 | 2006-01-27 |
1568443091 | Robert Aric Larson | Optometrist | 15420 S Route 59, Ste #7, Plainfield, IL 60544-1984 | 2005-11-10 |
Street Address |
3241 E SHEA BLVD |
City | PHOENIX |
State | AZ |
Zip Code | 85028-3335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962540237 | Shea Chiropractic Clinic | Chiropractor | 3241 E Shea Blvd, Phoenix, AZ 85028-3335 | 2007-02-01 |
1710902747 | Don Gerstenschlager | Social Worker | 3241 E Shea Blvd, Suite 9, Phoenix, AZ 85028-3335 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
Find all providers in zip 85028 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023628476 | The Wellness Way North Phoenix LLC | Chiropractor | 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 | 2020-07-31 |
1114535366 | Brian Anthony Romero | Chiropractor | 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 | 2020-07-14 |
1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
1609439645 | Danielle Stetzel | Chiropractor | 1130 E Missouri Ave Ste 402, Phoenix, AZ 85014-2724 | 2019-04-16 |
1447723598 | 28th Street Medical Group, LLC | Chiropractor | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 | 2019-01-10 |
1740753094 | Scott Mackenzie | Chiropractor | 4040 E Camelback Rd Ste 155, Phoenix, AZ 85018-8349 | 2019-01-09 |
1417437989 | Lone Star Health, LLC | Chiropractor | 10 E Ruth Ave, Phoenix, AZ 85020-3131 | 2018-08-15 |
1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
1932687969 | Trish Triemert | Chiropractor | 3415 W Glendale Ave Ste 3a, Phoenix, AZ 85051-8484 | 2018-08-01 |
1639667009 | Samuel William Rodriguez | Chiropractor | 1130 E Missouri Ave Ste 180, Phoenix, AZ 85014-2736 | 2018-05-01 |
Find all providers in PHOENIX |
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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.