Wesley R Larsen (NPI# 1174770440, PAC ID# 8729138318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1174770440 |
PAC ID by PECOS | 8729138318 |
Professional Enrollment ID | I20090602000261 |
Full Name | Wesley R Larsen |
Organization Legal Name | UTAH SURGICAL ASSOCIATES INC |
Address |
3550 N University Ave Suite 250 Provo UT 84604-6685 |
Phone Number | 8013749625 |
Gender | M |
Graduation Year | 2008 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4486686698 |
Number of Group Practice Members | 40 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460001 | UTAH VALLEY HOSPITAL |
460013 | MOUNTAIN VIEW HOSPITAL |
Address | Phone | Organization |
---|---|---|
3550 N University Ave, Suite 250, Provo, UT 84604-6685 | 8013749625 | UTAH SURGICAL ASSOCIATES INC |
Organization Legal Name | UTAH SURGICAL ASSOCIATES INC |
Physicians | 40 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew T Baker | General Surgery | Utah Surgical Associates Inc | 1000 E 15, Suite 350, Payson, UT 84651-3246 |
Lee Dupont Trotter | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Kristina T Mcmahon | Nurse Practitioner | Utah Surgical Associates Inc | 1490 E Foremaster Dr, Suite 200, Saint George, UT 84790-4496 |
Chelsea Genna Marshall | Physician Assistant | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
John Emil Wennergren | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Travis Jay Swift | Physician Assistant | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Christy Anderson | Nurse Practitioner | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Brian Gill | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Lacee Wilkinson | Physician Assistant | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Mark Hall Jensen | Plastic and Reconstructive Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Street Address |
3550 N UNIVERSITY AVE SUITE 250 |
City | PROVO |
State | UT |
Zip | 84604-6685 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lee Dupont Trotter | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Chelsea Genna Marshall | Physician Assistant | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
John Emil Wennergren | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Travis Jay Swift | Physician Assistant | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Christy Anderson | Nurse Practitioner | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Brian Gill | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Lacee Wilkinson | Physician Assistant | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Mark Hall Jensen | Plastic and Reconstructive Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Lee M Peterson | General Surgery | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Lindsay Nyman | Nurse Practitioner | Utah Surgical Associates Inc | 3550 N University Ave, Suite 250, Provo, UT 84604-6685 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan T Rich | Medical Oncology | Utah Cancer Specialists PC | 395 W Bulldog Blvd, Suite 103, Provo, UT 84604 |
James G Theurer | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
Todd B Engen | Ophthalmology | 1735 N State St, Suite 201, Provo, UT 84604-1010 | |
Dell C Morris | Optometry | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
William S Lohner | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
Jared T Clegg | Podiatry | Utah Podiatry Group, P.C. | 1973 N State St, Provo, UT 84604-1012 |
Stephanie Wilson | Physician Assistant | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Shelly L Savage | Family Medicine | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Natalie K Thompson | Nurse Practitioner | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Shelley Day | Nurse Practitioner | Aaron Robinson Do Pllc | 1900 N State St, Provo, UT 84604-1305 |
Find all physicians in zip 84604 |
City | PROVO |
Zip Code | 84604 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PROVO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Wesley 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.