Kenneth A Larson (NPI# 1659451441, PAC ID# 3072599851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1659451441 |
| PAC ID by PECOS | 3072599851 |
| Professional Enrollment ID | I20040624001046 |
| Full Name | Kenneth A Larson |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Address |
5511 S Congress Ave Suite 105 Atlantis FL 33462-1140 |
| Phone Number | 5619641634 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1456455021 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100080 | JFK MEDICAL CENTER |
| 100269 | PALMS WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 | 5619641634 | PALM BEACH GENERAL SURGERY LLC |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Krutzler | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Vivian Rosa | Nurse Practitioner | Palm Beach General Surgery LLC | 160 John F Kennedy Dr, Suite 102, Atlantis, FL 33462-6604 |
| Heidi Bahna | Colorectal Surgery (proctology) | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Michelle R Barletta | Physician Assistant | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Melinda M Blom | Physician Assistant | Palm Beach General Surgery LLC | 12953 Palms W Dr, 201 Digestive Disease Center of The Pal, Loxahatchee, FL 33470-4992 |
| James J Goad | General Surgery | Palm Beach General Surgery LLC | 12955 Palms W Dr, Suite 201, Loxahatchee, FL 33470-9217 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Julian K Berrocal | General Surgery | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Adam D Kurtin | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Aimee Elizabeth Farmer | Physician Assistant | Palm Beach General Surgery LLC | 1800 Se Tiffany Ave, St Lucie Medical Center, Port Saint Lucie, FL 34952-7521 |
| Street Address |
5511 S CONGRESS AVE SUITE 105 |
| City | ATLANTIS |
| State | FL |
| Zip | 33462-1140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Bahna | Colorectal Surgery (proctology) | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Chadwick T Rastatter | General Surgery | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Casey G Boyer | Internal Medicine | 5511 S Congress Ave, Suite 115, Atlantis, FL 33462-1140 | |
| Avril L Dhana | Nurse Practitioner | Spine Institute, P.a. | 5511 S Congress Ave, Suite 101, Atlantis, FL 33462-1140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neda Vanden Bosch | Diagnostic Radiology | Medical Specialists of The Palm Beaches Inc | 101 Jfk Dr, Atlantis, FL 33462-1119 |
| Fred Tow | Diagnostic Radiology | Medical Specialists of The Palm Beaches Inc | 101 Jfk Dr, Atlantis, FL 33462-1119 |
| Pavel N Sergeyev | Diagnostic Radiology | Medical Specialists of The Palm Beaches Inc | 101 Jfk Dr, Atlantis, FL 33462-1119 |
| Elizabeth Ann Gunther | Family Medicine | 130 Jfk Dr, Suite 134, Atlantis, FL 33462-1133 | |
| Agustin M Ibarrola | General Surgery | Palm Beach Surgical Associates | 130 John F Kennedy Dr, Suite 134, Atlantis, FL 33462-1133 |
| Arul B Chidambaram | General Surgery | Palm Beach Surgical Associates | 130 John F Kennedy Dr, Suite 134, Atlantis, FL 33462-1133 |
| Kenneth S Jaffe | Internal Medicine | 130 John F Kennedy Dr, Suite 134, Atlantis, FL 33462-1133 | |
| June J Lee | General Surgery | 130 Jfk Dr, Suite 132, Atlantis, FL 33462-1133 | |
| Yehia Abdelwahed | Nephrology | 130 Jfk Dr, Suite 134, Atlantis, FL 33462-1133 | |
| Natalie S Sohn | Obstetrics/gynecology | Institute for Women's Health and Body LLC | 5507 S Congress Ave, Suite 110a, Atlantis, FL 33462-1139 |
| Find all physicians in zip 33462 | |||
| City | ATLANTIS |
| Zip Code | 33462 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ATLANTIS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kenneth A Larson.
| 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.