JAY C LARSON


Address: 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306
Phone: 6029383600

JAY C LARSON (NPI# 1386806917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386806917
Entity Type Individual
Full Name JAY C LARSON
Credential DPM
Practice Address 5750 W Thunderbird Rd Ste G700
Glendale
AZ 85306
Mailing Address 5750 W Thunderbird Rd Ste G700
Glendale
AZ 85306-4673
Practice Telephone 6029383600
Mailing Telephone 6029383600
Mailing Fax Number 6029380400
Enumeration Date 2008-06-25
Last Update Date 2020-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 0729 AZ Podiatric Medicine & Surgery Service Providers
N 213E00000X Podiatrist 5901002297 MI Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 618036 05

Other Providers JAY LARSON

NPI Name Taxonomy Address Enumeration
1588603666 Jay Larson Internal Medicine 301 Saddle Dr, Helena, MT 59601-8098 2006-06-05

Office Location

Street Address 5750 W THUNDERBIRD RD STE G700
City GLENDALE
State AZ
Zip Code 85306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700848157 Gary Neal Friedlander Podiatrist 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306 2006-04-03
1043525314 Dustin Doyle Podiatrist 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306-4673 2010-08-11
1275621799 Sole, Foot and Ankle Specialists PC Clinic/Center 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306-4673 2006-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548784648 Michelle Weissgerber Registered Nurse 6640 W Maui Ln, Glendale, AZ 85306 2017-07-31
1427502947 Az Interact LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6055 West Caribe Lane, Glendale, AZ 85306 2016-08-12
1649667635 Richard Moreno Jr. Physical Therapy Assistant 6509 W Acapulco Ln, Glendale, AZ 85306 2015-04-17
1568863819 Alternative Living for You Assisted Living Facility 5328 W. Tierra Buena Ln., Glendale, AZ 85306 2014-09-05
1649614561 Matthew Brownell Internal Medicine 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 2013-04-22
1366736266 Miles Christenson Speech-Language Pathologist 14627 N 60th Ave, Glendale, AZ 85306 2011-06-08
1285928721 Nathalie Tania Petein-alamshaw Internal Medicine 5555 W Thunderbird Road, Glendale, AZ 85306 2011-06-01
1134351869 William J. Duff Counselor 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 2009-08-13
1538321369 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 2008-07-02
1316109143 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 2008-07-02
Find all providers in zip 85306

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154602399 Sole Care LLC Podiatrist 5660 W Potter Dr, Glendale, AZ 85308-9164 2011-09-01
1811166341 Spyros Tsoumpariotis Podiatrist 7901 Myrtle Ave, Glendale, NY 11385-7441 2008-02-28
1164608394 Joseph Addiego Podiatrist 1510 S Central Ave Ste 120, Glendale, CA 91204-2576 2008-01-17
1073660353 Glenoaks Podiatry Group Inc Podiatrist 844 West Glenoaks Blvd, Glendale, CA 91202-2134 2007-01-05
1417032863 Spyros Tsoumpariotis Podiatrist 79-01 Myrtle Ave, Glendale, NY 11385 2006-10-26
1700968377 Thunderbird Podiatry Podiatrist 5620 W Thunderbird, G2, Glendale, AZ 85306 2006-10-20
1124112255 Jeffrey Howard Stark Podiatrist 6216 Myrtle Ave, Glendale, NY 11385-6236 2006-10-03
1205937133 Andrew C La Podiatrist 1510 S Central Ave #120, Glendale, CA 91204-2577 2006-09-25
1619076924 George Nirvano Thompson Sr. Podiatrist 5757 West Thunderbird Road, Suite W203, Glendale, AZ 85306-4649 2006-09-22
1790713493 Frank J Garofalo Podiatrist 1101 N Pacific Ave Ste 104, Glendale, CA 91202-4313 2006-06-29
Find all providers in GLENDALE

Competitor

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City GLENDALE
Zip Code 85306

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Dataset Information

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.

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