DR. DAVID LARSEN (NPI# 1346335981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346335981 |
| Entity Type | Individual |
| Full Name | DR. DAVID LARSEN |
| Credential | M.D. |
| Practice Address |
655 Lexington Ave Jackson TN 38301-5075 |
| Practice Telephone | 7312152500 |
| Practice Fax Number | 7313000307 |
| Mailing Telephone | 7312152500 |
| Mailing Fax Number | 7313000307 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD0000009731 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TLC | 000000009028 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 0017809 | 01 |
| TN | 3189319 | 05 | |
| TN | AETNA | 4277358 | 01 |
| TN | FIRST HEALTH | 744524 | 01 |
| TN | RAILROAD MEDICARE | 080099502 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 Charleston Sq, Jackson, TN 383051712 | 7312152500 | 7312152501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518012483 | David S Larsen | Psychiatry & Neurology | 3351 Hobson Rd., Suite A, Woodridge, IL 60517-1689 | 2007-01-23 |
| 1902908304 | David W Larsen | Dentist | 1655 N 1st St, Grand Junction, CO 81501-2124 | 2006-09-05 |
| 1881622124 | David Larsen | Family Medicine | 6000 W 41st St, Sioux Falls, SD 57106-3012 | 2006-06-28 |
| 1851390108 | David T Larsen | Radiology | 3000 Corporate Ct, Suite 400, Flower Mound, TX 75028-2299 | 2005-07-19 |
| 1609225960 | David Larsen | Family Medicine | 705 E Marshall Ave Ste 1002, Longview, TX 75601 | 2016-06-08 |
| 1659764074 | David Larsen | Specialist/Technologist | 21726 Placerita Canyon Rd, Santa Clarita, CA 91321-1235 | 2015-03-10 |
| 1932527827 | David J Larsen | Pediatrics | 1151 Hospital Way Bldg F, Pocatello, ID 83201-5091 | 2014-03-29 |
| 1205015518 | David Arnold Larsen | Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2007-11-02 |
| 1114032885 | David Larsen | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Uhs-2, Portland, OR 97239-3011 | 2006-08-20 |
| 1669495461 | David H Larsen | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4508 | 2006-07-25 |
| Street Address |
655 LEXINGTON AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564866 | Vernessa Lynn Davis-tharpe | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-05 |
| 1750926549 | Christ Community Health Services, Inc. | Clinic/Center | 655 Lexington Ave, Jackson, TN 38301-5075 | 2019-11-15 |
| 1609393768 | Chelsea Noel Schmidt | Nurse Practitioner | 655 Lexington Ave, Jackson, TN 38301-5075 | 2017-08-29 |
| 1295098895 | Arrie Beth Edwards | Pharmacist | 655 Lexington Ave, Jackson, TN 38301-5075 | 2012-06-19 |
| 1740594217 | Faith Health Center | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2010-07-27 |
| 1538494653 | West Tennessee Medical Group Inc | Durable Medical Equipment & Medical Supplies | 655 Lexington Ave, Jackson, TN 38301-5075 | 2009-10-07 |
| 1851509772 | Jennifer Lauren Tucker | Pharmacist | 655 Lexington Ave, Jackson, TN 38301-5075 | 2007-05-21 |
| 1790820785 | East Jackson Family Pharmacy | Pharmacist | 655 Lexington Ave, Attn.pharmacy, Jackson, TN 38301-5075 | 2007-02-20 |
| 1073683884 | Jackson Madison County General Hospital | Pharmacy | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-11-09 |
| 1417972290 | Jackson Madison County General Hospital | Clinic/Center | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| Find all providers in JACKSON | ||||
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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.