Matthew J Larsen (NPI# 1194916049, PAC ID# 4789742347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1194916049 |
| PAC ID by PECOS | 4789742347 |
| Professional Enrollment ID | I20091015000589 |
| Full Name | Matthew J Larsen |
| Organization Legal Name | ST LUKE'S CLINIC, LLC |
| Address |
801 Pole Line Rd W Twin Falls ID 83301-5810 |
| Phone Number | 2083812088 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052217478 |
| Number of Group Practice Members | 216 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2083812088 | ST LUKE'S CLINIC, LLC |
| Organization Legal Name | ST LUKE'S CLINIC, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Rajan Gosain | Psychiatry | St Luke's Clinic, LLC | 228 Shoup Ave W, Twin Falls, ID 83301-5022 |
| Tina M Peer | Nurse Practitioner | St Luke's Clinic, LLC | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 |
| Brian C Birch | Pediatric Medicine | St Luke's Clinic, LLC | 762 N College Rd, Suite Aandb, Twin Falls, ID 83301-5392 |
| Corinne Bartschi | Nurse Practitioner | St Luke's Clinic, LLC | 775 Pole Line Rd W, Twin Falls, ID 83301-5819 |
| John James D Angelo | Emergency Medicine | St Luke's Clinic, LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Dale C Dickinson Jr. | Certified Registered Nurse Anesthetist | St Luke's Clinic, LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Street Address |
801 POLE LINE RD W |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-5810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Gray | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Paul K Stevens | Obstetrics/gynecology | St Luke's Clinic LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5811 |
| Nathan J Thompson | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Thomas J Steidler | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Pamela D Mills | Obstetrics/gynecology | St Luke's Clinic LLC | 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5811 |
| Makay T Oakey | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 801 Pole Line Rd W, Suite 3880, Twin Falls, ID 83301-5811 |
| Kirk C Peterson | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| John James D Angelo | Emergency Medicine | St Luke's Clinic, LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Jane Bennett-munro | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Michael E Gray | Pathology | Valley Pathology Associates LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TWIN FALLS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew J 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.