DR. RICHARD SIGURD LARSON III


Address: 310 W Losey St, Scott Air Force Base, IL 62225-5250
Phone: 6182567357

DR. RICHARD SIGURD LARSON III (NPI# 1265074660) 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) 1265074660
Entity Type Individual
Full Name DR. RICHARD SIGURD LARSON III
Credential DNP
Practice Address 310 W Losey St
Scott Air Force Base
IL 62225-5250
Mailing Address 850 Bluff Ridge Ln
Belleville
IL 62221-3562
Practice Telephone 6182567357
Enumeration Date 2019-10-17
Last Update Date 2019-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
23287 SC Physician Assistants & Advanced Practice Nursing Providers

Other Providers RICHARD LARSON

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1043286370 Richard Girard Larson Jr. Counselor 1039 College Ave., Ste. F, Wheaton, IL 60187 2006-02-27
1588153266 Richard Larson Case Manager/Care Coordinator 525 Metro Pl N Ste 100, Dublin, OH 43017-5343 2018-05-08
1740437987 Richard Larson Occupational Therapy Assistant 175 Franklin St, North Adams, MA 01247-2712 2008-08-19
1285810739 Richard Thomas Larson II Chiropractor 1115 Vicksburg Ln N, Suite 20, Plymouth, MN 55447-3215 2008-01-15
1215059258 Richard Mark Larson Pharmacist 308 Mission Dr, St Ignatius, MT 59065 2007-04-03
1881748564 Richard Larson Emergency Medicine 1153 Centre St, Jamaica Plain, MA 02130-3446 2007-01-22
1114089661 Richard A Larson Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-14

Office Location

Street Address 310 W LOSEY ST
City SCOTT AIR FORCE BASE
State IL
Zip Code 62225-5250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467019976 Connor James Denison Dentist 310 W Losey St, Scott Air Force Base, IL 62225-5250 2019-05-21
1558850271 Phoebe Marie Blakeley Student in an Organized Health Care Education/Training Program 310 W Losey St, Scott Air Force Base, IL 62225-5250 2018-05-08
1629575535 Don Ho Student in an Organized Health Care Education/Training Program 310 W Losey St, Scott Air Force Base, IL 62225-5250 2018-04-07
1386198679 Gregory James Chaffin Dentist 310 W Losey St, Scott Air Force Base, IL 62225-5250 2016-08-04
1750734612 Christopher Sean Durkin Family Medicine 310 W Losey St, Scott Air Force Base, IL 62225-5250 2016-07-15
1093192908 St. Louis Jc Vamc Clinic/Center 310 W Losey St, 375th Medical Group, Scott Air Force Base, IL 62225-5250 2015-04-29
1225439045 Erin O'connor Military Health Care Provider 310 W Losey St, Scott Air Force Base, IL 62225-5250 2014-09-11
1770993875 Nicholas Littman General Practice 310 W Losey St, Scott Air Force Base, IL 62225-5250 2014-04-29
1750418646 Leeann Jeanette Funk Social Worker 310 W Losey St, Family Advocacy Program Building 1533, Scott Air Force Base, IL 62225-5250 2007-02-27
1316091887 Troy W Johnson Optometrist 310 W Losey St, Scott Air Force Base, IL 62225-5250 2007-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011645 Cheryl D Jones Registered Nurse 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 2020-04-13
1649836123 Benjamin Truong Student in an Organized Health Care Education/Training Program Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 2019-05-10
1558925669 Brian Ng Student in an Organized Health Care Education/Training Program South Drive, Scott Afb, Illinois, Apo, AA 62225 2019-04-24
1841853710 Lance Scott Mcgavin Student in an Organized Health Care Education/Training Program 307 West Losey Street., Building #1535, Scott Afb, IL 62225 2019-04-17
1629503180 Joshua Bryce Kessack General Practice 375 Amds, 310 Losey St, Scott Afb, IL 62225 2017-04-21
1265988059 Jennifer Nicole Laurence Dentist 703 Seibert Rd Ste 5, Scott Afb, IL 62225 2016-08-31
1578940755 Usv Optical Inc Eyewear Supplier (Equipment, not the service) 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 2015-04-27
1891193652 Diana Meyer Social Worker Scott Afb, Apo, AA 62225 2014-12-10
1801210273 Robie Victoria Hughes Registered Nurse 310 W Losey Street, Scott Air Force Base, IL 62225 2014-02-06
1487998746 Melissa Dawn Goff Military Health Care Provider 310 West. Losey Street, Scott Afb, IL 62225 2012-11-26
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710082961 Sheila Bonnie Durlester Nurse Practitioner 310 W Losey St, Scott Air Force Base, IL 62225-5250 2006-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740881291 Sarah Zeigler Olsen Nurse Practitioner 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 2020-11-02
1467051151 Mallory Jo Brooks Nurse Practitioner 2306 E County Road 1800 N, Carthage, IL 62321-3101 2020-10-22
1508475294 Diedra M Ahlert Nurse Practitioner 1320 Lexington Dr, Collinsville, IL 62234-4348 2020-07-28
1679182802 Danielle L Shubert Nurse Practitioner 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 2020-07-23
1154962900 Janna Hoppe Nurse Practitioner 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 2019-10-02
1841858529 Katherine R Conkling Nurse Practitioner 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 2019-05-29
1942767280 Danielle R Wetzel Nurse Practitioner 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 2019-02-22
1669937231 Colleen Ann Larkin Nurse Practitioner 10939 S Troy St, Chicago, IL 60655-2211 2019-02-07
1568939684 Katelyn Marie Reed Nurse Practitioner 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 2018-10-26
1255813218 Michelle Christine Bollinger Nurse Practitioner 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 2018-09-05
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Competitor

Search similar providers

City SCOTT AIR FORCE BASE
Zip Code 62225

Improve Information

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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.

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