R. DAVID LARSEN (NPI# 1306824149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306824149 |
| Entity Type | Individual |
| Full Name | R. DAVID LARSEN |
| Credential | M.D. |
| Practice Address |
9053 S Pecos Rd Suite 2900 Henderson NV 89074-7177 |
| Mailing Address |
7150 W Sunset Rd Suite 201a Las Vegas NV 89113-1981 |
| Practice Telephone | 7027358000 |
| Practice Fax Number | 7027354795 |
| Mailing Telephone | 7023854342 |
| Mailing Fax Number | 7023854346 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2014-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 1668241205 | UT | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 6317 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICARE ID | V33978 | 01 |
| NV | 002019159 | 05 |
| Street Address |
9053 S PECOS RD SUITE 2900 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487093522 | Simmons Lmft, LLC | Marriage & Family Therapist | 9053 S Pecos Rd, Suite 2910, Henderson, NV 89074-7178 | 2013-06-21 |
| 1598882730 | Victor Kanian | Dentist | 9053 S Pecos Rd, Suite 3010, Henderson, NV 89074-7177 | 2007-03-23 |
| 1356320261 | Scott L. Baranoff | Urology | 9053 S Pecos Rd, Suite 2900, Henderson, NV 89074-7177 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336403260 | Casey Owen Mccraw | Urology | 8915 S Pecos Rd Ste 19a, Henderson, NV 89074 | 2012-06-26 |
| 1427260074 | John Rogers Clague | Urology | 610 N High St, Henderson, TX 75652-5914 | 2007-05-04 |
| 1518058577 | Adrian Mahendra Ogle | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2006-09-27 |
| 1497762892 | James M Fellows | Urology | 110 Third St, Henderson, KY 42420-2993 | 2006-08-01 |
| 1609854462 | Eliot M. Horowitz | Urology | 9053 S. Pecos Rd., Suite 2900, Henderson, NV 89074-7178 | 2006-01-03 |
| 1366969966 | Dlp Maria Parham Physician Practices LLC | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2017-08-24 |
| 1255854105 | Dlp Maria Parham Physician Practices LLC | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2017-07-24 |
| 1326360686 | Ageless Men's Health Nv, LLC | Urology | 2821 W Horizon Ridge Pkwy, 111, Henderson, NV 89052-4427 | 2010-02-26 |
| 1124278650 | 21st Century Specialty Physicians Michael J Katin Md PC | Urology | 52 N Pecos Rd, Henderson, NV 89074-7319 | 2008-09-20 |
| 1124239553 | L Vijaya. Md, Pa | Urology | 568 Ruin Creek Rd, Ste. 121, Henderson, NC 27536-2880 | 2007-05-25 |
| Find all providers in HENDERSON | ||||
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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.