DR. WALLACE K LARSON (NPI# 1285614842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285614842 |
Entity Type | Individual |
Full Name | DR. WALLACE K LARSON |
Credential | MD |
Practice Address |
4105 Briargate Parkway Suite 300 Colorado Springs CO 80920-3487 |
Practice Telephone | 7194733332 |
Practice Fax Number | 7193686878 |
Mailing Telephone | 7194733332 |
Mailing Fax Number | 7193686878 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2015-01-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | CO25317 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01253178 | 05 |
Street Address |
4105 BRIARGATE PARKWAY SUITE 300 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80920-3487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104271246 | Colorado Springs Pain Consultants LLC | Pain Medicine | 4105 Briargate Parkway, Suite 235, Colorado Springs, CO 80920-7844 | 2016-04-26 |
1053731455 | Pinnacle Orthopedic Alliance, PC | Orthopaedic Surgery | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2014-04-24 |
1871897504 | Trisha Renee Finnegan | Nurse Practitioner | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2011-01-10 |
1194059097 | James Warren Vinton | Pharmacist | 4105 Briargate Parkway, Colorado Springs, CO 80920-7842 | 2009-09-24 |
1487881470 | Kaiser Foundation Health Plan of Co | Clinic/Center | 4105 Briargate Parkway, Ste 125, Colorado Springs, CO 80920-7842 | 2009-06-17 |
1063668747 | Gary Alexander Simpson | Internal Medicine | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2008-08-13 |
1306016845 | Geoffrey Patrick Doner | Orthopaedic Surgery | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2008-03-11 |
1841212719 | Front Range Orthopaedics PC | Podiatrist | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2006-07-23 |
1194769612 | Marc A Johnson | Physician Assistant | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2006-06-15 |
1396717138 | Richard P Meinig | Orthopaedic Surgery | 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487 | 2006-02-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
Find all providers in zip 80920 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475278 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1263 Lake Plaza Dr Ste 210a, Colorado Springs, CO 80906-3564 | 2020-07-28 |
1376985218 | John Hadyn Drabing | Orthopaedic Surgery | 265 Hidden Valley Rd, Colorado Springs, CO 80919-2704 | 2013-07-19 |
1225303043 | David Jackson Tennent | Orthopaedic Surgery | 650 Cochrane Circle, Colorado Springs, CO 80913 | 2012-03-12 |
1396981387 | Arnold Lorentz Ahnfeldt | Orthopaedic Surgery | 3008 Springlake Cir W, Colorado Springs, CO 80906-3747 | 2008-12-23 |
1184752743 | Thomas Harrison Mahony IIi | Orthopaedic Surgery | 6011 E. Woodmen Rd, Suite 120, Colorado Springs, CO 80923 | 2007-03-02 |
1225001332 | James Randolph Percy | Orthopaedic Surgery | 5415 Jarman St, Colorado Springs, CO 80906-8210 | 2006-02-09 |
1003886334 | Paul B Rahill | Orthopaedic Surgery | 1755 S 8th St, Ste D1, Colorado Springs, CO 80905-7913 | 2006-01-26 |
1629054101 | Dennis A Phelps | Orthopaedic Surgery | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2005-12-16 |
1891779443 | Hendrick Jackson Arnold IIi | Orthopaedic Surgery | 160 W Fillmore St, Colorado Springs, CO 80907-6155 | 2005-12-06 |
1437131547 | Karl Martin Larsen | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2005-11-15 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80920 |
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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.