DR. WALLACE K LARSON


Address: 4105 Briargate Parkway, Suite 300, Colorado Springs, CO 80920-3487
Phone: 7194733332

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery CO25317 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01253178 05

Office Location

Street Address 4105 BRIARGATE PARKWAY
SUITE 300
City COLORADO SPRINGS
State CO
Zip Code 80920-3487

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City COLORADO SPRINGS
Zip Code 80920

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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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