Nicholas Larsen (NPI# 1164644464, PAC ID# 0345334553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1164644464 |
| PAC ID by PECOS | 0345334553 |
| Professional Enrollment ID | I20150814014918 |
| Full Name | Nicholas Larsen |
| Organization Legal Name | MOUNTAIN WEST ANESTHESIA LLC |
| Address |
201 W Layton Pkwy Layton UT 84041-3692 |
| Phone Number | 8015436000 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9032018502 |
| Number of Group Practice Members | 180 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460004 | MCKAY DEE HOSPITAL |
| 460061 |
| Address | Phone | Organization |
|---|---|---|
| 201 W Layton Pkwy, Layton, UT 84041-3692 | 8015436000 | MOUNTAIN WEST ANESTHESIA LLC |
| 4401 Harrison Blvd, Ogden, UT 84403-3195 | 8013872800 | MOUNTAIN WEST ANESTHESIA LLC |
| 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 | 8017272056 | MOUNTAIN WEST ANESTHESIA LLC |
| Organization Legal Name | MOUNTAIN WEST ANESTHESIA LLC |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendell R Klingler | Anesthesiology | Mountain West Anesthesia LLC | 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 |
| Kevin D Tolton | Anesthesiology | Mountain West Anesthesia LLC | 8 Th Ave C St E, Salt Lake City, UT 84143-0001 |
| John L Haws | Anesthesiology | Mountain West Anesthesia LLC | 201 W Layton Pkwy, Layton, UT 84041-3692 |
| John B Zimmerman | Anesthesiology | Mountain West Anesthesia LLC | 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 |
| Jan M Osterstock | Anesthesiology | Mountain West Anesthesia LLC | 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 |
| Justin M Aden | Anesthesiology | Mountain West Anesthesia LLC | 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 |
| Clinton L Christensen | Anesthesiology | Mountain West Anesthesia LLC | 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 |
| Bryce L Egbert | Anesthesiology | Mountain West Anesthesia LLC | 4401 Harrison Blvd, Ogden, UT 84403-3195 |
| Ethan K Fisher | Anesthesiology | Mountain West Anesthesia LLC | 150 W Civic Ctr Dr, Suite 200, Sandy, UT 84070-4284 |
| Todd S Blood | Anesthesiology | Mountain West Anesthesia LLC | 3741 W 12600, Riverton, UT 84065-7215 |
| Street Address |
201 W LAYTON PKWY |
| City | LAYTON |
| State | UT |
| Zip | 84041-3692 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Schenfeld | Emergency Medicine | Ihc Health Services Inc | 201 W Layton Pkwy, Layton, UT 84041-3692 |
| John L Haws | Anesthesiology | Mountain West Anesthesia LLC | 201 W Layton Pkwy, Layton, UT 84041-3692 |
| Clarke Alan Low | Internal Medicine | Ihc Health Services Inc | 201 W Layton Pkwy, Suite 2a, Layton, UT 84041-3692 |
| Michael L Smith | Anesthesiology | Mountain West Anesthesia LLC | 201 W Layton Pkwy, Layton, UT 84041-3692 |
| Jessica B Meents | Physician Assistant | Ogden Clinic PC | 201 W Layton Pkwy, Suite 420, Layton, UT 84041-3692 |
| Heidi Kapanka | Emergency Medicine | Ihc Health Services Inc | 201 W Layton Pkwy, Layton, UT 84041-3692 |
| Joseph Edward Hansler | General Surgery | Ihc Health Services Inc | 201 W Layton Pkwy, Suite 2a, Layton, UT 84041-3692 |
| Dustin R Watson | Anesthesiology | Mountain West Anesthesia LLC | 201 W Layton Pkwy, Layton, UT 84041-3692 |
| Zheila R Schwartz | Nurse Practitioner | Ogden Clinic PC | 201 W Layton Pkwy, Suite 420, Layton, UT 84041-3692 |
| Daniel R Ferguson | Obstetrics/gynecology | Ogden Clinic PC | 201 W Layton Pkwy, Suite 420, Layton, UT 84041-3692 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LAYTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Nicholas Larsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.