EVAN LARSON (NPI# 1376164921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164921 |
| Entity Type | Individual |
| Full Name | EVAN LARSON |
| Practice Address |
1100 Bridgewood Dr Ste 102 Fort Worth TX 76112-0808 |
| Practice Telephone | 8179667000 |
| Mailing Telephone | 8179667000 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1001565 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831572536 | Evan Perry Larson | Orthopaedic Surgery | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2015-06-30 |
| 1669873147 | Evan Larson | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-09-15 |
| Street Address |
1100 BRIDGEWOOD DR STE 102 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-0808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225452 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 901 W Leuda St Ste C, Fort Worth, TX 76104-3003 | 2020-08-11 |
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1841814480 | Orthous Medical LLC | Durable Medical Equipment & Medical Supplies | 5049 Edwards Ranch Rd Fl 4, Fort Worth, TX 76109-4133 | 2020-05-29 |
| 1356971733 | Elite Hair Strands LLC | Durable Medical Equipment & Medical Supplies | 4609 Marks Iv Pkwy, Fort Worth, TX 76161 | 2020-01-24 |
| 1588209795 | Kamlesh Patel | Durable Medical Equipment & Medical Supplies | 801 E Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1023653243 | Dl Durable Equipment LLC | Durable Medical Equipment & Medical Supplies | 801 E. Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1851935092 | Above and Beyond Management Inc | Durable Medical Equipment & Medical Supplies | 9500 Ray White Rd # 100, Fort Worth, TX 76244-6000 | 2019-10-31 |
| 1922641463 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 2222 Wenneca Ave, Fort Worth, TX 76102-4325 | 2019-10-28 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| 1639643687 | Lesley Rae Hauck | Durable Medical Equipment & Medical Supplies | 5301 Sugarloaf Trl # 5208, Fort Worth, TX 76244-1437 | 2019-01-13 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
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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.