WILLIAM DAVID LARSON (NPI# 1952555922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952555922 |
| Entity Type | Individual |
| Full Name | WILLIAM DAVID LARSON |
| Credential | IDC |
| Practice Address |
350 South Crag Rd. Panama City FL 32407-7013 |
| Mailing Address |
350 South Crag Rd. Panama City FL 32407 |
| Practice Telephone | 8502355218 |
| Mailing Telephone | 8502355218 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831301183 | William Evert Larson | Dentist | 3755 Murphy Canyon Rd, Suite D, San Diego, CA 92123-4412 | 2007-05-07 |
| 1558586875 | William M. Larson | Pediatrics | 7227 Bern St, Anchorage, AK 99507-2731 | 2007-04-13 |
| 1942362892 | William Keat Larson | Dentist | 211 South 5th Street, Moorhead, MN 56560 | 2006-12-15 |
| 1164519625 | William Kim Larson | Dentist | 122 Colfax Ave Sw, Wadena, MN 56482-1470 | 2006-10-06 |
| 1568427359 | William Glenn Larson | Physical Therapist | 1510 Lakeshore Drive, Hot Springs, AR 71913 | 2006-04-18 |
| 1932517844 | William Larson | Pharmacist | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2014-07-24 |
| 1205162872 | William Alan Larson | Physical Therapist | 3580 W 9000 S, C/o Jordan Valley Medical Center, West Jordan, UT 84088-8812 | 2009-11-02 |
| 1467685156 | William Larson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2009-08-27 |
| 1154449320 | William R. Larson | Dentist | 928 E 100 S, #a, Salt Lake City, UT 84102-1455 | 2007-03-27 |
| 1407924590 | William Richard Larson | Dentist | 516 Delaware St Se, 7th Floor Pwb, Minneapolis, MN 55455-0356 | 2006-11-30 |
| Street Address |
350 SOUTH CRAG RD. |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32407-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
| 1225497365 | Shae Nicole Luster | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 | 2016-02-17 |
| 1447675988 | Nicoleta M Tatum | Nurse Practitioner | 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 | 2014-02-20 |
| 1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
| 1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
| 1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
| 1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
| 1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
| Find all providers in zip 32407 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1437562113 | John Campbell | Military Health Care Provider | 350 Crag Rd, Panama City, FL 32407-7013 | 2014-06-10 |
| 1295072114 | Angelo Luis Sanchez Jr. | Military Health Care Provider | 350 Crag Rd, Panama City, FL 32407-7013 | 2013-01-11 |
| 1053689752 | Michael S Hamman | Military Health Care Provider | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2011-12-08 |
| 1215232608 | Garth Robert Alan Sinclair | Military Health Care Provider | 350 Crag Rd, Panama City, FL 32407-7013 | 2011-01-18 |
| 1336342591 | Michael Jesse Lewis | Military Health Care Provider | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2007-06-06 |
| 1215130414 | James Thomas Brawley | Military Health Care Provider | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
| 1043863079 | Jenny Lee Mahoney | Military Health Care Provider | 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 | 2019-07-18 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1992230429 | George Williams Osorio | Military Health Care Provider | 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 | 2017-04-21 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1619420536 | Justin Allan Willis | Military Health Care Provider | 8353 Iris Ave, Seminole, FL 33777-3643 | 2016-07-27 |
| 1720531635 | Julian Vincent | Military Health Care Provider | 3861 Aubrey Ln, Orange Park, FL 32065-8224 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32407 |
Please comment or provide details below to improve the information on WILLIAM DAVID LARSON.
| 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.