LANCE A LARSEN (NPI# 1144240789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144240789 |
| Entity Type | Individual |
| Full Name | LANCE A LARSEN |
| Credential | MD,FACC |
| Practice Address |
75 Herrick St Suite 206 Beverly MA 01915-5900 |
| Practice Telephone | 9789278400 |
| Practice Fax Number | 9789221452 |
| Mailing Telephone | 9789278400 |
| Mailing Fax Number | 9789221452 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 59741 | MA | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
59741 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CIGNA | 042804155 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0016080 | 01 |
| MA | RAILROAD MEDICARE | 060058690 | 01 |
| MA | AETNA | 4231092 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J07711 | 01 |
| MA | 3053024 | 05 | |
| MA | NETWORK HEALTH PLAN | 97126301 | 01 |
| MA | TUFTS HEALTH PLAN | 059741 | 01 |
| MA | UNITED HEALTHCARE | 2500717 | 01 |
| MA | HARVARD PILGRIM | 60917 | 01 |
| MA | FALLON COMMUNITY HEALTH | 32041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821013962 | Lance G Larsen | Anesthesiology | 1270 E Spruce Ave, Fresno, CA 93720-3312 | 2006-07-12 |
| Street Address |
75 HERRICK ST SUITE 206 |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215908025 | Robert T Fritz | Otolaryngology | 75 Herrick St, Suite 113, Beverly, MA 01915-5903 | 2006-01-30 |
| 1821642398 | Nsea North Shore LLC | Ophthalmology | 75 Herrick St, Beverly, MA 01915-5903 | 2019-08-01 |
| 1063964427 | Lindsay Welenc | Radiologic Technologist | 75 Herrick St, Suite110, Beverly, MA 01915-5903 | 2016-11-01 |
| 1255691556 | North Shore Preventive Health Care, P.C. | Internal Medicine | 75 Herrick St, Suite 116, Beverly, MA 01915-5903 | 2012-05-21 |
| 1053608083 | Generations Dental Center | Dentist | 75 Herrick St, Suite 212, Beverly, MA 01915-5903 | 2011-06-28 |
| 1952618548 | Paul J Ala | Dentist | 75 Herrick St, Suite 212, Beverly, MA 01915-5903 | 2010-09-03 |
| 1619153897 | Beverly Pediatrics Association | Pediatrics | 75 Herrick St, Suite 116, Beverly, MA 01915-5903 | 2008-01-17 |
| 1952521999 | Essex Cardiology Associates, Inc | Specialist | 75 Herrick St, Suite 206, Beverly, MA 01915-5900 | 2007-05-01 |
| 1871717165 | Howard I. Levy, M.d. P.C. | Psychiatry & Neurology | 75 Herrick St, Suite 203, Beverly, MA 01915-5900 | 2007-04-11 |
| 1902920630 | Melina Amy Ilief Ala | Dentist | 75 Herrick St, Suite 212, Beverly, MA 01915-5903 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174724249 | David Koh | Internal Medicine | 45 Airport Rd, Suite C, Beverly, MA 01915-1064 | 2007-05-29 |
| 1053397810 | David Goldberg | Internal Medicine | Lahey Cardiology, Beverly, 75 Herrick Street Suite 206, Beverly, MA 01915-5900 | 2005-12-22 |
| 1376962639 | Xuan Wang | Internal Medicine | 85 Herrick St, Beverly, MA 01915 | 2014-04-15 |
| 1114265634 | Atrius Health, Inc. | Internal Medicine | 77 Herrick St, Suite101, Beverly, MA 01915-2734 | 2013-01-17 |
| 1528388303 | Alena G Goldman | Internal Medicine | 77 Herrick St, Beverly, MA 01915-2734 | 2010-06-03 |
| 1366634644 | John Adams Dodson | Internal Medicine | 77 Herrick St, Suite 101, Beverly, MA 01915-2734 | 2007-08-10 |
| 1770619363 | Alexander Doumas | Internal Medicine | 75 Herrick St, Suite 206, Beverly, MA 01915-5903 | 2007-02-26 |
| 1841215522 | S Lawson Derby | Internal Medicine | 77 Herrick St, Ste 101 Medical Group Inc, Beverly, MA 01915-3012 | 2006-07-13 |
| 1285669440 | David E Schwartz | Internal Medicine | 77 Herrick St, Ste 101, Beverly, MA 01915-3031 | 2006-07-12 |
| 1548216625 | Mobeen A. Sheikh | Internal Medicine | 77 Herrick St, Suite 101, Beverly, MA 01915-2782 | 2006-05-26 |
| Find all providers in BEVERLY | ||||
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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.