DOUGLAS ALAN LARSEN (NPI# 1952546731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952546731 |
| Entity Type | Individual |
| Full Name | DOUGLAS ALAN LARSEN |
| Credential | M.D. |
| Practice Address |
2401 S 31st St Dept. of Pathology Temple TX 76508-0001 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547249627 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
P0751 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346317328 | Douglas Ray Larsen | Chiropractor | 2548 E 7th Ave, Flagstaff, AZ 86004-3719 | 2006-11-29 |
| 1003128059 | Douglas Steven Larsen | Physician Assistant | 701 Hewitt Blvd, Red Wing, MN 55066 | 2010-07-07 |
| 1669635181 | Douglas Paul Larsen | Psychiatry & Neurology | 1 Childrens Pl Ste D, Ste D, Saint Louis, MO 63110-1002 | 2008-07-03 |
| 1124183686 | Douglas Floyd Larsen | Optometrist | 41238 Margarita Rd, Suite 105, Temecula, CA 92591-5552 | 2006-12-26 |
| 1417063736 | Douglas Phillip Larsen | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-21 |
| 1053386631 | Douglas C Larsen | Physician Assistant | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-02-17 |
| Street Address |
2401 S 31ST ST DEPT. OF PATHOLOGY |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831501469 | Clare Mccormick-baw | Pathology | 4916 Sarahs Way, Temple, TX 76502-3385 | 2014-06-02 |
| 1043508468 | Eduardo Castro-echeverry | Pathology | Scott & White Hospital 2401 South 31 St St, Pathology Dept. Suite 261b, Temple, TX 76508-0001 | 2011-07-19 |
| 1649709379 | Li Chen | Pathology | 2401 S 31st St, Temple, TX 76508-9413 | 2017-06-06 |
| 1679000616 | Piyush Soni | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2017-05-22 |
| 1043667082 | Parsa Hodjat | Pathology | 2401 S 31st St, Ms-01-266, Temple, TX 76508-0001 | 2016-05-19 |
| 1871972406 | Sean Trevathan | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-28 |
| 1235517301 | Ashley Kristan Windham | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-11 |
| 1275929721 | Said Mohamad Albahra | Pathology | 2401 S 31st St, Dept of Pathology, Temple, TX 76508 | 2015-04-11 |
| 1427464411 | Amelia Blaine Sybenga | Pathology | 2401 S 31st St, Department of Pathology, Rm 261b, Temple, TX 76508-0001 | 2014-07-10 |
| 1578978748 | Jagbir Khangura | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2014-06-26 |
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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.