STEPHEN LARSON (NPI# 1386755775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386755775 |
| Entity Type | Individual |
| Full Name | STEPHEN LARSON |
| Credential | MD |
| Practice Address |
12303 De Paul Dr Bridgeton MO 63044-2512 |
| Mailing Address |
Po Box 4853 Oak Brook IL 60522-4853 |
| Practice Telephone | 3143446000 |
| Mailing Telephone | 3143446000 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2003010856 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759619 | Stephen Mark Larson | Optometrist | 314 Main St S, Sauk Centre, MN 56378-1349 | 2006-09-13 |
| 1699883876 | Stephen James Larson | Dentist | 777 Cuesta Dr Ste 100, Mountain View, CA 94040-3765 | 2006-08-28 |
| 1649230160 | Stephen Larson | Psychologist | 352 Hommelville Rd, Saugerties, NY 12477-4205 | 2006-03-27 |
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1851802680 | Stephen Michael Larson | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2017-10-19 |
| 1972980928 | Stephen Larson | Otolaryngology | 1120 15th St, Augusta, GA 30912-3403 | 2015-04-29 |
| 1700205382 | Stephen Nathaniel Larson | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2014-04-10 |
| 1972733467 | Stephen A Larson | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2009-07-20 |
| 1033276357 | Stephen Joseph Larson | Dentist | 612 Rockdale Ave, Cincinnati, OH 45229-2919 | 2007-01-03 |
| 1003838459 | Stephen M Larson | Dentist | 6411 Fannin St, Houston, TX 77030-1501 | 2006-07-24 |
| Street Address |
12303 DE PAUL DR |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559183 | M Kyle Sila | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-09-20 |
| 1528674371 | Victoria Wannemuehler | Dietitian, Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-09-17 |
| 1598389389 | Kayla Christine Deblauw | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-08 |
| 1659995876 | Rekha Narayanan Kouri | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-03 |
| 1255965422 | Kayla Michele Richter | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-26 |
| 1932731296 | Danielle Moses | Pharmacist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-05 |
| 1689205304 | Alexandra Wege | Nurse Practitioner | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-31 |
| 1063052918 | Timothy J Guernsey | Nurse Anesthetist, Certified Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-08 |
| 1982241923 | Catherine Nagus | Social Worker | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-12-10 |
| 1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831617257 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 10 Cornwell Drive, Bridgeton, NJ 08302-3633 | 2017-09-06 |
| 1114909611 | Norman J Ehlinger Jr. | Emergency Medicine | 3436a Mckelvey Rd, Bridgeton, MO 63044-2525 | 2005-11-18 |
| 1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
| 1700268646 | Joshua Koyejo | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044 | 2015-06-28 |
| 1720127012 | Michele L Bena | Emergency Medicine | 12303 Depaul Dr., Bridgeton, MO 63044 | 2007-02-05 |
| 1083724389 | Marcus Stephens Teng | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-08-30 |
| 1386679751 | Alicia H Busso | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-07-12 |
| 1124061700 | Susan Lynn Fricke | Emergency Medicine | 12303 Depaul Drive, Bridgeton, MO 63901 | 2006-06-13 |
| 1558318907 | Pushpa S Patel | Emergency Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-30 |
| 1225084932 | Timothy F Reed | Emergency Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-25 |
| Find all providers in BRIDGETON | ||||
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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.