Angie R Larsen (NPI# 1821284654, PAC ID# 2466356563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1821284654 |
| PAC ID by PECOS | 2466356563 |
| Professional Enrollment ID | I20031120000826 |
| Full Name | Angie R Larsen |
| Organization Legal Name | ADVANCED DIAGNOSTIC IMAGING PC |
| Address |
300 Stonecrest Blvd Suite 450 Smyrna TN 37167-6851 |
| Phone Number | 6152208788 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7315848140 |
| Number of Group Practice Members | 449 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440227 | TRISTAR STONECREST MEDICAL CENTER |
| 440197 | TRISTAR SOUTHERN HILLS MEDICAL CENTER |
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Stonecrest Blvd, Suite 450, Smyrna, TN 37167-6851 | 6152208788 | ADVANCED DIAGNOSTIC IMAGING PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ADVANCED DIAGNOSTIC IMAGING PC |
| Physicians | 403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica D Lane | Nurse Practitioner | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Matthew S Hawkins | Physician Assistant | Advanced Diagnostic Imaging PC | 425 Henslee Dr, Dickson, TN 37055-2166 |
| Jaclyn R Cominotto | Nurse Practitioner | Advanced Diagnostic Imaging PC | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 |
| James L Griffith | Dermatology | Advanced Diagnostic Imaging PC | 190 D Saundersville Rd, Hendersonville, TN 37075-8901 |
| Nassif Azzi | Nephrology | Advanced Diagnostic Imaging PC | 256 Seaboard Lane, Suite F101, Franklin, TN 37067 |
| Emily Schaheen | Orthopedic Surgery | Advanced Diagnostic Imaging PC | 570 Hartsville Pike, Gallatin, TN 37066-2450 |
| Jennifer C Dyer | Nurse Practitioner | Advanced Diagnostic Imaging PC | 2200 Murphy Ave B, Nashville, TN 37203-1826 |
| Jilliam Dimond | Nurse Practitioner | Advanced Diagnostic Imaging PC | 2004 Hayes St, Nashville, TN 37203-2318 |
| Stephen K Hollister | Colorectal Surgery (proctology) | Advanced Diagnostic Imaging PC | 345 23rd N Ave, Suite 300, Nashville, TN 37203-1513 |
| Krista D Gessler | Nurse Practitioner | Advanced Diagnostic Imaging PC | 112 Airport Business Park Dr, Suite G, Shelbyville, TN 37160-7453 |
| Street Address |
300 STONECREST BLVD SUITE 450 |
| City | SMYRNA |
| State | TN |
| Zip | 37167-6851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald P Patterson | Internal Medicine | Medical Group-stonecrest Inc | 300 Stonecrest Blvd, Suite 110, Smyrna, TN 37167-5689 |
| Robert D Frankfather | Podiatry | Advanced Foot and Ankle Care Centers PC | 300 Stonecrest Blvd, Suite 255, Smyrna, TN 37167-6837 |
| Tehri Roberts | Nurse Practitioner | Gastroenterology Specialists of Middle Tennessee LLC | 300 Stonecrest Blvd, Suite 455, Smyrna, TN 37167-6851 |
| Kirsten B Bunce | Family Medicine | Medical Group - Stonecrest Fp Inc | 300 Stonecrest Blvd, Suite 100, Smyrna, TN 37167-5170 |
| Amanda Mason | Nurse Practitioner | Advanced Diagnostic Imaging PC | 300 Stonecrest Blvd, Suite 230, Smyrna, TN 37167-6800 |
| Patricia T Harvey | Occupational Therapy | Tennessee Orthopaedic Alliance Pa | 300 Stonecrest Blvd, Suite 300, Smyrna, TN 37167-6801 |
| Christopher O Thompson | Family Medicine | Medical Group - Stonecrest Fp Inc | 300 Stonecrest Blvd, Suite 100, Smyrna, TN 37167-5170 |
| Kimberly A Carano | Physician Assistant | Medical Group-stonecrest Inc | 300 Stonecrest Blvd, Suite 110, Smyrna, TN 37167-5689 |
| Bryan J Kozinski | Family Medicine | Medical Group - Stonecrest Fp Inc | 300 Stonecrest Blvd, Suite 100, Smyrna, TN 37167-5170 |
| Ignus C Retief | Podiatry | Advanced Foot and Ankle Care Centers PC | 300 Stonecrest Blvd, Suite 255, Smyrna, TN 37167-6837 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faiza Rehman | Internal Medicine | Physician Services of Middle Tennessee, LLC | 800 Great Cir, Smyrna, TN 37167-2508 |
| Paul Douglas Trapeni Jr. | Optometry | 23 N Lowry St, Smyrna, TN 37167-2525 | |
| James M Haaven | Optometry | 570 Enon Springs Rd E, Smyrna, TN 37167-2905 | |
| Sarah Schwartz Wilson | Family Medicine | 115 Enon Springs Rd E, Smyrna, TN 37167-3009 | |
| Olawumi O Ayo | Internal Medicine | Cornerstone Medical Associates Pllc | 125 Enon Springs Rd E, Smyrna, TN 37167-3009 |
| Gary Schwartz | Internal Medicine | 115 Enon Springs E, Smyrna, TN 37167-3009 | |
| John M Byrnes | Internal Medicine | 115 Enon Springs Rd E, Smyrna, TN 37167-3009 | |
| Robin Adam | Nurse Practitioner | Volunteer Behavioral Health Care System | 131 Mayfield Dr, Smyrna, TN 37167-3018 |
| Katherine Gee | Nurse Practitioner | Volunteer Behavioral Health Care System | 131 Mayfield Dr, Smyrna, TN 37167-3018 |
| Ernest K Johnson Iii | General Surgery | 200 Mayfield Dr, Smyrna, TN 37167-3019 | |
| Find all physicians in zip 37167 | |||
| City | SMYRNA |
| Zip Code | 37167 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SMYRNA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Angie R 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.