DR. MATTHEW JAMES LARSON


Address: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033
Phone: 6512513300

DR. MATTHEW JAMES LARSON (NPI# 1154386423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154386423
Entity Type Individual
Full Name DR. MATTHEW JAMES LARSON
Credential M.D.
Practice Address 1215 Town Centre Dr
Suite 200
Eagan
MN 55123-1033
Mailing Address 60 Plato Blvd E
Suite 270
Saint Paul
MN 55107-1827
Practice Telephone 6512513300
Practice Fax Number 6512553450
Mailing Telephone 6512091600
Mailing Fax Number 6512919169
Enumeration Date 2006-04-19
Last Update Date 2013-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 46578 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN MEDICARE PTAN 070001049 01
MN RAILROAD MEDICARE P01199766 01
MN MEDICA 0030001093 01
MN BLUE SHIELD 0FE27LA 01

Other Providers MATTHEW LARSON

NPI Name Taxonomy Address Enumeration
1043534878 Matthew Golden Larson Chiropractor 9316 Carnation Duvall Rd Ne, Carnation, WA 98014-6706 2010-03-23
1417113648 Matthew J Larson Driver 2112 Hoffman Rd, Mankato, MN 56001-5829 2008-08-07
1326002437 Matthew G. Larson Social Worker 24 S 600 E, Ste. 6, Slc, UT 84102 2006-04-14
1346703634 Matthew Daniel Larson Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd, Kansas City, KS 66160-8500 2019-04-12
1205315108 Matthew Larson Physical Therapist 433 Mendota Rd E, West St Paul, MN 55118-5104 2018-08-10
1316444615 Matthew Erick Larson Radiology 600 Highland Ave, Madison, WI 53792-0001 2018-04-12
1316352834 Matthew Larson Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2014-06-23
1982941027 Matthew Larson Social Worker 16 12th Ave S, Suite 201, Nampa, ID 83651-3936 2013-01-09
1922353739 Matthew W Larson Pharmacist 23 Slayton Ave, Spencerport, NY 14559-1427 2012-07-17
1609134675 Matthew Thor Larson Pharmacist 20 W Main St, Crosby, MN 56441-1422 2012-04-27

Office Location

Street Address 1215 TOWN CENTRE DR
SUITE 200
City EAGAN
State MN
Zip Code 55123-1033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063489540 Charles E Pogemiller Sr. Family Medicine 1215 Town Centre Dr, Eagan, MN 55123-1033 2006-03-03
1215227590 Jozef Lazar Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2011-04-07
1912167487 Kathryn Colleen Barlow Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2008-06-09
1013195791 Sheila Rae Rodstein Family Medicine 1215 Town Centre Dr, Eagan, MN 55123-1033 2008-02-05
1730298910 Kristina Kelly Shaffer Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2006-08-30
1427167691 Joseph Jacob Shaffer Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2006-08-30
1306955802 Noel Anthony Hauge Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053828467 Hilltop Family Chiropractic Center Pa Chiropractor 1121 Town Centre Drive Suite 202, Eagan, MN 55123 2018-01-08
1922452507 Jacob Zimmerman Counselor 3450 O'leary Ln., Eagan, MN 55123 2016-04-20
1316320971 K-squared Fitness, L.L.C. Public Health or Welfare 1100 Cliff Rd, Eagan, MN 55123 2015-07-01
1346683687 Joshua M Dorn Allergy & Immunology 3460 Promenade Ave, Eagan, MN 55123 2013-04-16
1700172350 Mary Christine Mcnabney Nurse Practitioner 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 2011-06-22
1033353669 Todd Borstad Social Worker 3450 O'leary Lane, Eagan, MN 55123 2009-04-27
1821025271 Mngi Endoscopy LLC Clinic/Center 1185 Town Centre Drive, Eagan, MN 55123 2006-06-28
1780620120 Cindy Eileen Wood Audiologist 3440 Oleary Lane, 240, Eagan, MN 55123 2006-06-22
1609845742 Jeffery R Dichter Internal Medicine 849 Govern Circle, Saint Paul, MN 55123 2006-03-14
1891269155 Elise Broderick Quam Social Worker 3450 Oleary Ln, Eagan, MN 55123 2019-01-18
Find all providers in zip 55123

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215227590 Jozef Lazar Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2011-04-07
1912167487 Kathryn Colleen Barlow Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2008-06-09
1730298910 Kristina Kelly Shaffer Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2006-08-30
1427167691 Joseph Jacob Shaffer Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2006-08-30
1306955802 Noel Anthony Hauge Dermatology 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 2006-08-29
1962426502 Crutchfield Dermatology, P.a. Dermatology 1185 Town Centre Dr, Suite 101, Eagan, MN 55123-1187 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962871608 Lakes Dermatology, Pa Dermatology 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 2015-09-23
1194133157 Adam Schmitt Dermatology 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 2014-07-22
1578982773 Lori Ann Fiessinger Dermatology 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 2014-04-15
1942629795 Shane O'neil Dermatology 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 2014-04-09
1033537782 Erin Sellinger Dermatology 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 2014-03-31
1033555230 Samuel Blake Ecker Dermatology 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 2013-05-14
1295078913 Jessica Jane Newman Dermatology 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 2013-04-01
1437416088 Tiffany Lynn Shih Dermatology 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 2012-04-20
1124317383 Sara Anne Hylwa Dermatology 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 2011-03-28
1770885360 Thomas Joseph Kalb Dermatology 13420 106th St., Young America, MN 55397-5401 2010-12-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City EAGAN
Zip Code 55123

Improve Information

Please comment or provide details below to improve the information on DR. MATTHEW JAMES LARSON.

Dataset Information

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.

Trending Searches