DR. JOHN ROBERT LARSON (NPI# 1215932173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215932173 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT LARSON |
| Credential | M.D. |
| Practice Address |
1724 W Plymouth St Bremen IN 46506-1940 |
| Practice Telephone | 5745463649 |
| Practice Fax Number | 5745463952 |
| Mailing Telephone | 5745463649 |
| Mailing Fax Number | 5745463952 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01033673 | IN | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
01033673 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100468970B | 05 | |
| IN | ANTHEM BCBS | 000000296642 | 01 |
| IN | AETNA | 0004619574 | 01 |
| IN | TRICARE | 371199381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100278 | John P Larson | Counselor | 2703 Frontier St Ne, Suite 120 Msc11 6145, Albuquerque, NM 87131 | 2007-12-12 |
| 1427125467 | John W Larson | Dentist | 1290 W Centennial Blvd, Suite 1, Springfield, OR 97477-3566 | 2006-11-28 |
| 1285642975 | John W Larson | Chiropractor | 1740 Weir Dr, Suite 24, Woodbury, MN 55125-2282 | 2006-08-04 |
| 1174537757 | John Christopher Larson | Chiropractor | 11328 Kenyon Way, B, Rancho Cucamonga, CA 91701-9265 | 2006-07-28 |
| 1487606679 | John Jeffrey Larson | Specialist/Technologist | 6701 N Jean Nicolet Rd, Milwaukee, WI 53217-3701 | 2006-05-16 |
| 1669098547 | John Larson | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1619520251 | John Paul Larson | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-23 |
| 1144783408 | John S Larson | Nurse Practitioner | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2019-04-12 |
| 1437671237 | John Dylan Larson | Student in an Organized Health Care Education/Training Program | 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 | 2017-07-13 |
| 1982152609 | John Larson | Psychologist | 525 E Illinois St, Spearfish, SD 57783-2521 | 2016-09-12 |
| Street Address |
1724 W PLYMOUTH ST |
| City | BREMEN |
| State | IN |
| Zip Code | 46506-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568663748 | Michael C Aemmer | Social Worker | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2007-05-29 |
| 1033326814 | Community Family Physicians, PC | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2007-05-17 |
| 1003831207 | Michael R Mcclaid | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2006-07-12 |
| 1063418978 | Frank A. Snyder | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2005-06-24 |
| 1891791810 | Paul R. Gettinger | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2005-06-23 |
| 1114923125 | David M. Rosentrater | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356564447 | Laura A Both | Family Medicine | 1144 W. Plymouth St., Bremen, IN 46506 | 2007-04-10 |
| 1770638934 | Bremen Public Schools | Local Education Agency (LEA) | 512 West Grant, Bremen, IN 46506 | 2007-01-25 |
| 1194764449 | Sandra R. Brown | Obstetrics & Gynecology | 1144 W Plymouth St, Bremen, IN 46506 | 2006-06-05 |
| 1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
| 1902017080 | Community Hospital of Bremen, Inc. | Family Medicine | 1020 High Road, Bremen, IN 46506 | 2007-05-24 |
| 1184771461 | James Wellington Lowe | Emergency Medicine | 1020 High Road, Bremen, IN 46506 | 2007-01-05 |
| 1376525303 | Diane M. Mackie & Associates, PC | Pathology | 1020 High Rd, Bremen, IN 46506-0008 | 2005-11-16 |
| 1689680977 | John Keith Frey | Emergency Medicine | 1020 High Road, Bremen, IN 46506-0008 | 2006-07-31 |
| 1972585909 | Diane M Mackie | Pathology | 1020 High Rd, Bremen, IN 46506-0008 | 2005-11-16 |
| 1023588811 | Community Hospital of Bremen | Pharmacy | 1020 High Rd, Bremen, IN 46506-1093 | 2018-12-05 |
| Find all providers in zip 46506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649432550 | Salman Siddiqui | Family Medicine | 100 Tanner Dr, Bremen, GA 30110-2537 | 2008-07-01 |
| 1871781476 | Allison Kimball Key | Family Medicine | Po Box 728, 222 Gordon Street, Bremen, GA 30110 | 2007-10-09 |
| 1356564447 | Laura A Both | Family Medicine | 1144 W. Plymouth St., Bremen, IN 46506 | 2007-04-10 |
| 1851300842 | Haralson Medical Clinic, PC | Family Medicine | 201 Allen Memorial Dr, Bremen, GA 30110 | 2006-08-07 |
| 1639118839 | Robert Blaine Kolbe Jr. | Family Medicine | 1120 W South St, Bremen, IN 46506-1849 | 2006-06-05 |
| 1942781109 | Beacon Medical Group Inc | Family Medicine | 1144 W Plymouth St, Bremen, IN 46506-1842 | 2018-08-27 |
| 1861915647 | 3:16 Family Medicine, LLC | Family Medicine | 222 Gordon St, Bremen, GA 30110-1519 | 2017-07-24 |
| 1902017080 | Community Hospital of Bremen, Inc. | Family Medicine | 1020 High Road, Bremen, IN 46506 | 2007-05-24 |
| 1033326814 | Community Family Physicians, PC | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2007-05-17 |
| 1427067404 | Pyung Jung Kim | Family Medicine | 201 Allen Memorial Dr, Bremen, GA 30110-2011 | 2006-08-07 |
| Find all providers in BREMEN | ||||
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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.