E Wayne Larsen
WESTERN ANESTHESIA ASSOCIATES LLC


Address: 630 Medical Dr, Bountiful, UT 84010-4908
Phone: 8012992160

E Wayne Larsen (NPI# 1164450821, PAC ID# 2365409943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1164450821
PAC ID by PECOS 2365409943
Professional Enrollment ID I20041216000043
Full Name E Wayne Larsen
Organization Legal Name WESTERN ANESTHESIA ASSOCIATES LLC
Address 630 Medical Dr
Bountiful
UT 84010-4908
Phone Number 8012992160
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF WISCONSIN
Graduation Year 1988
Primary Specialty ANESTHESIOLOGY
Group Practice PAC ID 3274590856
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460042 LAKEVIEW HOSPITAL

Other Locations

Address Phone Organization
630 Medical Dr, Bountiful, UT 84010-4908 8012992160 WESTERN ANESTHESIA ASSOCIATES LLC

Organization Information

Organization Legal Name WESTERN ANESTHESIA ASSOCIATES LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Sloan M Taylor Anesthesiology Western Anesthesia Associates LLC 630 E Medical Dr, Bountiful, UT 84010-4908
Anthony C Faber Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Jeffry K Kupfer Certified Registered Nurse Anesthetist (crna) Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Tyson R Riesenberg Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Tory S Hinkle Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Tyler M Yeates Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Andrew A Miller Certified Registered Nurse Anesthetist (crna) Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Bryce E Trump Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
David C Peterson Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Erik W Shupe Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908

Office Location

Street Address 630 MEDICAL DR
City BOUNTIFUL
State UT
Zip 84010-4908

Physicians in the same location

Name Specialty Organization Address
Adam Phillip Pendleton Psychiatry Mountainstar Behavioral Health LLC 630 Medical Dr, Bountiful, UT 84010-4908
Christopher J Parr Diagnostic Radiology Utah Imaging Associates Inc 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908
Anthony C Faber Anesthesiology Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
Jose Perez Tamayo Diagnostic Radiology Utah Imaging Associates Inc 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908
Jeffry K Kupfer Certified Registered Nurse Anesthetist (crna) Western Anesthesia Associates LLC 630 Medical Dr, Bountiful, UT 84010-4908
David R Dedrickson Diagnostic Radiology Utah Imaging Associates Inc 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908
William T Sadler Internal Medicine Lakeview Professional Billing LLC 630 Medical Dr, Bountiful, UT 84010-4908
David Smith Hospitalist Santibanez Aguirre PC 630 Medical Dr, Bountiful, UT 84010-4908
Chad A Vanginkel Emergency Medicine Emergency Physicians Integrated Care LLC 630 Medical Dr, Bountiful, UT 84010-4908
Margaret Kathleen Kincaid Diagnostic Radiology Utah Imaging Associates Inc 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
George Samuel Wilson Family Medicine 1217 E 1650, Bountiful, UT 84010-1586
Nancy N Pantziris Psychiatry 535 E 500, Suite 6, Bountiful, UT 84010-3876
Ronald K Honey Occupational Therapy 2280 S 750, Bountiful, UT 84010-4216
Raymond Paul Ward Family Medicine Ogden Clinic PC 185 S 400, Suite 100, Bountiful, UT 84010-4801
Amanda A Ward Nurse Practitioner Ogden Clinic PC 185 S 400, Suite 100, Bountiful, UT 84010-4801
Mark E Christian Family Medicine Ogden Clinic PC 185 S 400, Suite 100, Bountiful, UT 84010-4801
Jason Clark Gubler Physical Therapy Ogden Clinic PC 185 S 400, Suite 100, Bountiful, UT 84010-4801
David Cope Family Medicine Ogden Clinic PC 185 S 400, Suite 100, Bountiful, UT 84010-4801
Jennifer Crafton Nurse Practitioner Ogden Clinic PC 185 S 400, Suite 100, Bountiful, UT 84010-4801
Sandra M Robinson Nurse Practitioner Ogden Clinic PC 185 S 400, Bountiful, UT 84010-4801
Find all physicians in zip 84010

Competitor

Search similar physicians

City BOUNTIFUL
Zip Code 84010
Specialty ANESTHESIOLOGY
City + Specialty BOUNTIFUL + ANESTHESIOLOGY

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Dataset Information

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.

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