STEPHEN LARSON


Address: 1120 15th St, Augusta, GA 30912-3403
Phone: 7067218623

STEPHEN LARSON (NPI# 1972980928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972980928
Entity Type Individual
Full Name STEPHEN LARSON
Credential M.D.
Practice Address 1120 15th St
Augusta
GA 30912-3403
Mailing Address 1120 15th St Ste Bi1056
Augusta
GA 30912-0004
Practice Telephone 7067218623
Practice Fax Number 7067211459
Mailing Telephone 7067213813
Enumeration Date 2015-04-29
Last Update Date 2020-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 85636 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 Madison Ave Ste 1031, Memphis, TN 381033403 9014487635

Other Providers STEPHEN LARSON

NPI Name Taxonomy Address Enumeration
1487759619 Stephen Mark Larson Optometrist 314 Main St S, Sauk Centre, MN 56378-1349 2006-09-13
1699883876 Stephen James Larson Dentist 777 Cuesta Dr Ste 100, Mountain View, CA 94040-3765 2006-08-28
1649230160 Stephen Larson Psychologist 352 Hommelville Rd, Saugerties, NY 12477-4205 2006-03-27
1568465201 Stephen Larson Nurse Anesthetist, Certified Registered 112 E 5th Ave, Antigo, WI 54409-2710 2005-05-26
1851802680 Stephen Michael Larson Specialist 6333 Telegraph Ave, Oakland, CA 94609-1359 2017-10-19
1700205382 Stephen Nathaniel Larson Veterinarian 2845 Harlem Ave, Berwyn, IL 60402-2800 2014-04-10
1972733467 Stephen A Larson Social Worker 1100 K Ave, La Grande, OR 97850-2131 2009-07-20
1033276357 Stephen Joseph Larson Dentist 612 Rockdale Ave, Cincinnati, OH 45229-2919 2007-01-03
1386755775 Stephen Larson Emergency Medicine 12303 De Paul Dr, Bridgeton, MO 63044-2512 2006-08-31
1003838459 Stephen M Larson Dentist 6411 Fannin St, Houston, TX 77030-1501 2006-07-24

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-3403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051556 Gyanendra Kumar Sharma Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2005-05-23
1912508532 Lacey Nichol Preston Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-11-02
1992302988 Victoria Mae Pregibon Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-10-03
1275130239 Tanya Renee Hall Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-10-02
1144847864 Cassandra Marie Voong Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-29
1245857002 Morgan Rowe Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-06-28
1639795990 Lauren Christine Bush Audiologist 1120 15th St, Augusta, GA 30912-0004 2020-06-23
1811513575 Ashley Danielle Fox Internal Medicine 1120 15th St, Augusta, GA 30912-0006 2020-06-18
1265058994 Matthew Craddock Psychiatry & Neurology 1120 15th St, Augusta, GA 30912-0004 2020-06-18
1437775301 Joseph John Arellano Emergency Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922413343 Colin Wyatt Fuller Otolaryngology 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 2014-06-24
1356356158 Frederick Nellis Klippert Otolaryngology 509 15th Street, Augusta, GA 30904-6285 2006-07-30
1811967227 Erwin Bartholomeus Seywerd Otolaryngology 79 Arsenal St, Augusta, ME 04330-5704 2006-01-26
1407838527 William Joseph Welsh Otolaryngology 1433 Stovall St, Augusta, GA 30904-4883 2005-11-15
1144873134 Ranim A.m Alsharif Otolaryngology 1040 Alexander Dr, Augusta, GA 30909-0243 2019-07-19
1912560475 Diana Jean Bigler Otolaryngology 1120 15th St, Augusta, GA 30912-0004 2019-04-19
1114412665 Ahmad Mohamed Eltelety Otolaryngology 1120 15th St, Augusta, GA 30912-0004 2018-06-27
1437642188 Lindsey Catherine Megow Otolaryngology 1120 15th St, Augusta, GA 30912-0004 2018-06-07
1417440298 Trevor Wallace Getz Otolaryngology 1120 15th St, Augusta, GA 30912 2018-06-07
1043702186 Jeffrey J. Falco Otolaryngology 1120 15th St, Augusta, GA 30912-0004 2018-06-05
Find all providers in AUGUSTA

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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