MR. ERIC THOMAS LARSON (NPI# 1164725511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164725511 |
| Entity Type | Individual |
| Full Name | MR. ERIC THOMAS LARSON |
| Credential | CRNA |
| Practice Address |
3272 Oak View Dr Woodbury MN 55129-9370 |
| Practice Telephone | 6515289928 |
| Mailing Telephone | 6515289928 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R174225-7 | MN | Nursing Service Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | CCNA0086627 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649696857 | Eric Larson | Dentist | 16825 Smokey Point Blvd, Arlington, WA 98223-8407 | 2014-03-12 |
| 1053454819 | Eric John Larson | Chiropractor | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2007-02-14 |
| 1518039445 | Eric C Larson | Dentist | 1831 N. Rock Rd. Suite 101, Wichita, KS 67206 | 2006-11-15 |
| 1841386968 | Eric K Larson | Psychiatry & Neurology | 280 Pleasant Street, Suite 12, Concord, NH 03301-2553 | 2006-10-05 |
| 1881785244 | Eric J Larson | Internal Medicine | 201 East 3rd Avenue South, Cavalier, ND 58220 | 2006-09-28 |
| 1578592838 | Eric Windsor Larson Sr. | Military Health Care Provider | 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 | 2006-06-30 |
| 1326003344 | Eric John Larson | Counselor | 109 E Eureka, Eureka, IL 61530 | 2006-04-20 |
| 1275513467 | Eric M Larson | Ophthalmology | 1885 West Pointe Dr, Oshkosh, WI 54902-4174 | 2006-01-23 |
| 1487016432 | Eric Stanley Larson | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box 801016, Charlottesville, VA 22908-0816 | 2016-03-28 |
| 1629434733 | Eric Peter Larson | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2016-01-05 |
| Street Address |
3272 OAK VIEW DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55129-9370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
| 1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
| 1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
| 1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
| 1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
| 1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
| 1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
| 1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
| Find all providers in zip 55129 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899150 | Sarah Nyandoro | Registered Nurse | 10635 Pond Curv, Woodbury, MN 55129-5810 | 2020-10-19 |
| 1699339614 | Kolawole Lookman Amusan | Registered Nurse | 7790 Highpointe Rd, Woodbury, MN 55125-1633 | 2019-04-25 |
| 1629514765 | Zhiying Yu | Registered Nurse | 10164 Waterfront Dr, Woodbury, MN 55129-8581 | 2017-01-12 |
| 1750734380 | Fatumo Abdi | Registered Nurse | 1671 Century Cir, Apt 116, Woodbury, MN 55125-4203 | 2016-07-19 |
| 1356790737 | Kenneth Charles Steinkamp | Registered Nurse | 8916 Pinehurst Rd, Woodbury, MN 55125-8828 | 2016-06-07 |
| 1548639578 | Erin Elizabeth Suntken | Registered Nurse | 9105 Edinburgh Ln, Woodbury, MN 55125-9191 | 2015-09-21 |
| 1639553787 | Rose Nambozo | Registered Nurse | 11005 Oak Grove Cir Unit A, Woodbury, MN 55129-8737 | 2015-07-17 |
| 1306249644 | Bryan Haese | Registered Nurse | 2545 Eagle Trace Ln, Woodbury, MN 55129-4275 | 2014-10-01 |
| 1437597036 | Linda Krilov | Registered Nurse | 281 Fox Hollow Rd, Woodbury, NY 11797-1633 | 2013-06-05 |
| 1255699104 | Keisha Perrenoud | Registered Nurse | 253 Pendryn Hill Cir, Woodbury, MN 55125-7704 | 2012-04-29 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on MR. ERIC THOMAS LARSON.
| 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.