DR. JOHN W LARSEN JR. (NPI# 1386617785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386617785 |
Entity Type | Individual |
Full Name | DR. JOHN W LARSEN JR. |
Credential | MD |
Practice Address |
575 S 70th St Ste 405 Lincoln NE 68510-2471 |
Practice Telephone | 4022198005 |
Practice Fax Number | 4022198084 |
Mailing Telephone | 4022198005 |
Mailing Fax Number | 4022198084 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2019-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
31413 | NE | Allopathic & Osteopathic Physicians |
N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
0101051944 | VA | Allopathic & Osteopathic Physicians |
N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
MD802Z | DC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DC | 028405300 | 05 | |
NE | 207VM0101X | 05 | |
VA | 006204287 | 05 | |
MD | 373111100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1204 W Main St Fl 3, Charlottesville, VA 22903 | 4349242500 | 4342449487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538422118 | John Kenyon Larsen | Physician Assistant | 1470 Medical Pkwy Ste 265, Carson City, NV 89703-4648 | 2012-06-19 |
1790924264 | John Bryon Larsen | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
1013154442 | John David Larsen | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2009-01-07 |
1578610739 | John Mark Larsen | Neuromusculoskeletal Medicine, Sports Medicine | 1700 Lombard St, Suite 110, Oxnard, CA 93030-8211 | 2007-01-03 |
1700974169 | John G Larsen | Pediatrics | 1245 Park Ave, C/o Uptown Pediatrics, New York City, NY 10128 | 2006-10-11 |
1265543995 | John A. Larsen | Psychologist | 5350 W 94th Ter, Suite 204, Prairie Village, KS 66207-2504 | 2006-08-31 |
1497863401 | John W Larsen | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
1932128576 | John A. Larsen | Anesthesiology | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2006-07-18 |
1760425128 | John Brent Larsen | Nurse Anesthetist, Certified Registered | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 2006-06-14 |
Street Address |
575 S 70TH ST STE 405 |
City | LINCOLN |
State | NE |
Zip Code | 68510-2471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
Find all providers in zip 68510 |
Taxonomy Code | 207VM0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Maternal & Fetal Medicine |
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346424017 | Maternal Fetal Medicine Advanced Fetal Imaging Center | Obstetrics & Gynecology | 575 S 70th St, Ste 405, Lincoln, NE 68510-2471 | 2007-12-18 |
1235217118 | Sean Patrick Kenney | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2006-11-01 |
1225002363 | Maureen Patrice Malee | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2006-02-15 |
1922098706 | Benjamin Donald Byers | Obstetrics & Gynecology | 1500 S 48th St, Suite 712, Lincoln, NE 68506-1276 | 2005-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740591502 | Heather M Said | Obstetrics & Gynecology | Emile @ 42nd St, Omaha, NE 68198-0001 | 2010-06-27 |
1497982086 | Todd R. Lovgren | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2009-06-22 |
1700053691 | Ramzy Sami Nakad | Obstetrics & Gynecology | 983255 Nebraska Medical Ctr, Omaha, NE 68198-3255 | 2008-05-11 |
1235271172 | James Francis Smith Jr. | Obstetrics & Gynecology | 601 N 30th St, Suite 4700, Omaha, NE 68131-2128 | 2007-02-13 |
1740390947 | Andrew W Robertson | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2006-08-30 |
1881701522 | Michael G Levine | Obstetrics & Gynecology | 717 N 190th Plz, Suite # 2400, Elkhorn, NE 68022-3913 | 2006-08-25 |
1568577427 | Katherine Foley | Obstetrics & Gynecology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-08-20 |
1629029491 | Carl V Smith | Obstetrics & Gynecology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-15 |
1609826262 | Paul G Tomich | Obstetrics & Gynecology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-12 |
1508814104 | Amie Lynn Hollard | Obstetrics & Gynecology | Emile @ 42nd St, Omaha, NE 68198 | 2006-05-05 |
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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.