JEFFREY E LARSON (NPI# 1124018809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124018809 |
| Entity Type | Individual |
| Full Name | JEFFREY E LARSON |
| Credential | MD |
| Practice Address |
2424 S 90th St Suite 500 West Allis WI 53227-2455 |
| Mailing Address |
19475 W North Ave Ste 201 Brookfield WI 53045-4199 |
| Practice Telephone | 4143288600 |
| Practice Fax Number | 4143288686 |
| Mailing Telephone | 2623954163 |
| Mailing Fax Number | 2623954159 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 31144020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE RAILROAD | CG1663 | 01 |
| WI | 31597600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699824177 | Jeffrey R. Larson | Preventive Medicine | 9250 N 32nd Pl, Phoenix, AZ 85028-4917 | 2007-01-10 |
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1164435855 | Jeffrey D Larson | Dentist | 1211 S Kimball Ave, Caldwell, ID 83605-4626 | 2006-08-14 |
| 1023575263 | Jeffrey Donald Larson | Counselor | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-02-25 |
| 1790269645 | Jeffrey Larson | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Chicago, IL 60611-2909 | 2018-09-17 |
| 1255864823 | Jeffrey Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2017-04-10 |
| 1144516097 | Jeffrey Donald Larson | Family Medicine | 14 Lake St, Oak Park, IL 60302-2606 | 2011-06-20 |
| 1578868527 | Jeffrey David Larson | Social Worker | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2011-01-24 |
| 1154657245 | Jeffrey Gerard Larson | Social Worker | 451 Dunham Rd, Suite 400, Saint Charles, IL 60174-1431 | 2009-10-23 |
| 1013166990 | Jeffrey A Larson | Urology | 2000 E Greenville St, Anderson, SC 29621-1580 | 2008-09-16 |
| Street Address |
2424 S 90TH ST SUITE 500 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999063 | Richard D Davenport | Ophthalmology | 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 | 2005-06-01 |
| 1881227205 | Sirr Grice | Pharmacist | 2424 S 90th St, West Allis, WI 53227-2455 | 2020-02-13 |
| 1730673955 | Denine Eva Anagnoustopolous | Physician Assistant | 2424 S 90th St, West Allis, WI 53227 | 2018-06-20 |
| 1881133593 | Jason R Gehring | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2017-02-14 |
| 1265975825 | Rachel A Lewis | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2016-11-29 |
| 1750737367 | Michael Goshorn | Family Medicine | 2424 S 90th St, West Allis, WI 53227-2455 | 2016-05-12 |
| 1366810020 | Kathleen J Krickeberg | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2015-09-10 |
| 1568867232 | Lee David Klemens | Registered Nurse | 2424 S 90th St, Suite 504, West Allis, WI 53227-2455 | 2014-10-23 |
| 1578999405 | Kathleen Conrad | Pharmacist | 2424 S 90th St, West Allis, WI 53227-2455 | 2013-09-24 |
| 1538594585 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942566906 | Lisa A Sienkiewicz | Orthopaedic Surgery | 2424 S 90th St Ste 500, West Allis, WI 53227-2464 | 2012-04-04 |
| 1689833774 | Michael James Stoesz | Orthopaedic Surgery | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2008-06-04 |
| 1922098714 | Lee M Tyne | Orthopaedic Surgery | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1831729276 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 8907 S Howell Ave Ste 800, Oak Creek, WI 53154-4461 | 2020-01-24 |
| 1710520200 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 12555 W National Ave Ste 100, New Berlin, WI 53151-4061 | 2019-10-28 |
| 1477015931 | Multiple Care of Wi II, LLC | Orthopaedic Surgery | 8040 Excelsior Dr Ste 400, Madison, WI 53717-2915 | 2019-04-03 |
| 1508321209 | Ellen M Obrien | Orthopaedic Surgery | 5026 N Northwood Trce, Janesville, WI 53545-8990 | 2019-02-06 |
| 1487180238 | Ryan Scott Bailey | Orthopaedic Surgery | 7708 Milwaukee Ave, Wauwatosa, WI 53213-2209 | 2017-05-11 |
| 1932584927 | Anne Margarethe Ryan | Orthopaedic Surgery | 5940 Wild Rose Ln, Eau Claire, WI 54701-8783 | 2015-07-20 |
| 1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
| 1952728206 | Jacob R Seiler | Orthopaedic Surgery | 1205 West American Drive, Neenah, WI 54956-1405 | 2014-03-25 |
| 1770920472 | Jonathan Stone | Orthopaedic Surgery | 3111 W Rawson Ave Ste 200205, Franklin, WI 53132-9417 | 2013-06-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.