TIMOTHY L LARSON (NPI# 1982630828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982630828 |
| Entity Type | Individual |
| Full Name | TIMOTHY L LARSON |
| Credential | PA-C |
| Practice Address |
1401 Nwakama St Marshall MN 56258-5529 |
| Practice Telephone | 5079297696 |
| Practice Fax Number | 5073937697 |
| Mailing Telephone | 5079297696 |
| Mailing Fax Number | 5073937697 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0386 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6826122 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861784936 | Timothy Andrew Larson | Social Worker | Madigan Army Medical Cetner 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2011-05-09 |
| 1144434242 | Timothy Brad Larson | Orthopaedic Surgery | 2900 N I-35 Ste 200, Denton, TX 76201-5144 | 2007-05-09 |
| 1093715377 | Timothy A Larson | Physical Therapist | 11 N. Main St., Omak, WA 98841 | 2005-07-28 |
| 1023628708 | Timothy Chester Larson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-06 |
| 1447486683 | Timothy Ryan Larson | Case Manager/Care Coordinator | 800 E 6th Ave, Stillwater, OK 74074-3732 | 2009-06-02 |
| 1679782676 | Timothy Stephen Larson | Internal Medicine | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2007-05-22 |
| 1467594283 | Timothy Larson | Dentist | 1600 Heritage Lndg, Suite 210, Saint Peters, MO 63303-8489 | 2007-02-12 |
| 1326130204 | Timothy George Larson | Internal Medicine | 910 E 26th St, Suite 200, Minneapolis, MN 55404-4526 | 2006-09-29 |
| 1679500433 | Timothy Leigh Larson | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2006-06-27 |
| 1093792269 | Timothy S Larson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-28 |
| Street Address |
1401 NWAKAMA ST |
| City | MARSHALL |
| State | MN |
| Zip Code | 56258-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538512405 | Lauren Claire-stelly Mitchell | Physical Therapist | 1401 Nwakama St, Marshall, MN 56258-5529 | 2016-07-15 |
| 1457735854 | James Jay Yackley | Hearing Instrument Specialist | 1401 Nwakama St, Ste 100, Marshall, MN 56258-5529 | 2015-07-15 |
| 1033526884 | Natasha Sik | Physical Therapy Assistant | 1401 Nwakama St, Marshall, MN 56258-5529 | 2014-07-14 |
| 1942551031 | Connect Hearing, Inc. | Audiologist | 1401 Nwakama St, Suite 100, Marshall, MN 56258-5529 | 2012-09-28 |
| 1871874917 | Haley Ann Citrowske | Physical Therapy Assistant | 1401 Nwakama St, Marshall, MN 56258-5529 | 2011-09-02 |
| 1558699876 | Erin Marie Flann | Physical Therapist | 1401 Nwakama St, Marshall, MN 56258-5529 | 2009-11-24 |
| 1407023161 | Southwest Minnesota Surgical Center, Inc. | Clinic/Center | 1401 Nwakama St, Suite 400, Marshall, MN 56258 | 2008-05-13 |
| 1063578466 | Southwest Minnesota Orthopedics and Sports Medicine, Inc | Orthopaedic Surgery | 1401 Nwakama St, Suite 300, Marshall, MN 56258-5529 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
| 1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
| 1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
| 1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
| 1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
| 1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
| 1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
| 1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
| Find all providers in zip 56258 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656858 | Kelly Alicia Hunt Moeller | Physician Assistant | 1806 E End Blvd N Ste 1300, Marshall, TX 75670-0734 | 2011-10-19 |
| 1841440872 | Erin N Grabowski | Physician Assistant | Marshall Medical Associates, 1174 W. Michigan Ave, Marshall, MI 49068 | 2008-09-26 |
| 1295825925 | Hope Marie Howard | Physician Assistant | 720 Old Us Hwy 27 North, Marshall, MI 49068-9609 | 2006-10-13 |
| 1720018930 | George C Noel | Physician Assistant | 614 S Grove St, Suite A, Marshall, TX 75670-5219 | 2006-07-04 |
| 1366490005 | Tara Lyn Montgomery | Physician Assistant | 215 E Mansion St Ste 2d, Marshall, MI 49068-1167 | 2006-05-05 |
| 1558343681 | Randall Curtis Lane | Physician Assistant | 811 S. Washington Street, Marshall, TX 75670 | 2005-11-15 |
| 1326049438 | Terrance D. Venden | Physician Assistant | 815 S Washington Ave, Suite 100, Marshall, TX 75670-5369 | 2005-08-10 |
| 1861498768 | Ken Yazzie Chambellan | Physician Assistant | 811 S Washington Ave, Marshall, TX 75670 | 2005-06-24 |
| 1346894748 | Jacob Bottelberghe | Physician Assistant | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-07-25 |
| 1598224321 | Hannah Sue Reski | Physician Assistant | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-03-19 |
| Find all providers in MARSHALL | ||||
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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.