MS. JEAN E LARSON (NPI# 1295836732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295836732 |
| Entity Type | Individual |
| Full Name | MS. JEAN E LARSON |
| Credential | PA C |
| Practice Address |
2405 Osler Ct Meredyth Professional Plaza Albany GA 31707 |
| Mailing Address |
Po Box 70969 Albany GA 31708-0969 |
| Practice Telephone | 2294351458 |
| Practice Fax Number | 2293172342 |
| Mailing Telephone | 2294351458 |
| Mailing Fax Number | 2293172342 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | GA4044 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 671629810B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922536754 | Jean M Larson | Dietitian, Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-05-24 |
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1487095410 | Jean A Larson | Social Worker | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2013-07-05 |
| 1033206941 | Jean M Larson | Internal Medicine | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-10-10 |
| Street Address |
2405 OSLER CT MEREDYTH PROFESSIONAL PLAZA |
| City | ALBANY |
| State | GA |
| Zip Code | 31707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670602 | Robert R Granville Jr. | Orthopaedic Surgery | 2405 Osler Ct, Albany, GA 31707-0214 | 2005-12-22 |
| 1043749146 | Lindsay Tompkins Carr | Physician Assistant | 2405 Osler Ct, Albany, GA 31707-0214 | 2017-06-12 |
| 1790027381 | Ivan Pate | Physical Therapy Assistant | 2405 Osler Ct, Suite 200, Albany, GA 31707-0214 | 2013-03-21 |
| 1447592035 | Lacey Slaughter Smith | Physical Therapy Assistant | 2405 Osler Ct, Suite 200, Albany, GA 31707-0214 | 2013-03-21 |
| 1982942793 | Kevin Michael Duff | Nurse Anesthetist, Certified Registered | 2405 Osler Ct, Albany, GA 31707-0214 | 2013-01-29 |
| 1194079657 | Rodger Keith Wagoner | Physician Assistant | 2405 Osler Ct, Albany, GA 31707-0214 | 2012-11-06 |
| 1053635896 | Sarah Claire Harrington | Physical Therapist | 2405 Osler Ct, Suite 200, Albany, GA 31707-0214 | 2010-03-23 |
| 1922330356 | Melissa Mable Ellis | Physical Therapist | 2405 Osler Ct, Albany, GA 31707-0214 | 2010-02-10 |
| 1538494968 | Premier Orthopedics, PC | Specialist | 2405 Osler Ct, Albany, GA 31707-0214 | 2009-10-02 |
| 1235349861 | Timothy Barrett Chaffin | Nurse Practitioner | 2405 Osler Ct, Albany, GA 31707-0214 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MS. JEAN E 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.