PETER JON LARSEN (NPI# 1538122817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122817 |
| Entity Type | Individual |
| Full Name | PETER JON LARSEN |
| Credential | PA |
| Practice Address |
1285 Nininger Rd Hastings MN 55033-1086 |
| Mailing Address |
8675 Valley Creek Rd Woodbury MN 55125-2337 |
| Practice Telephone | 6514804200 |
| Practice Fax Number | 6514804434 |
| Mailing Telephone | 6512413000 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9355 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS | 16F30LA | 01 |
| MN | AMERICA'S PPO | 850267 | 01 |
| MN | HEALTH PARTNERS | HP30168 | 01 |
| MN | RAILROAD MEDICARE | 970015689 | 01 |
| MN | PREFERRED ONE | NA9141022759 | 01 |
| MN | GROUP HEALTH EAU CLAIRE | 42990800 | 01 |
| MN | MEDICA | 01-13610 | 01 |
| MN | UCARE MINNESOTA | 127666 | 01 |
| MN | 040965100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801030234 | Peter Astrup Larsen | Ophthalmology | 808 Oil Creek Road, Box 428, Newcastle, WY 82701-0428 | 2009-04-29 |
| 1073768115 | Peter Larsen | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2008-11-17 |
| 1205912300 | Peter Eric Larsen | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2006-10-31 |
| Street Address |
1285 NININGER RD |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591275 | Jerome J Perra | Orthopaedic Surgery | 1285 Nininger Rd, Suite 107, Hastings, MN 55033-1086 | 2006-03-14 |
| 1164876942 | Gita Byraiah | Obstetrics & Gynecology | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2016-04-19 |
| 1255693453 | Garret Thomas Lechtenberg | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2012-06-13 |
| 1578869293 | Allina Health System | Clinic/Center | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2011-01-27 |
| 1679710248 | Maria O Stanislaw | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2009-01-19 |
| 1063681872 | Terry Cherner | Physical Therapist | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2008-02-26 |
| 1689730491 | Tammy J John | Registered Nurse | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-12-28 |
| 1396819751 | Sanaya Darayus Bharucha | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-11-20 |
| 1578579264 | David John Ries | Family Medicine | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-08-01 |
| 1134177561 | Susan E. Nelson | Nurse Practitioner | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830313 | Samuel Larking Rayburn | Physician Assistant | 2207 Osborne Dr W Ste 100, Hastings, NE 68901-9111 | 2019-03-13 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1831542539 | Valerie Kae Ross | Physician Assistant | 16681 185th St E, Hastings, MN 55033-9298 | 2016-07-18 |
| 1770950875 | Bryan Mizner | Physician Assistant | 3203 Osborne Dr W Ste 101, Hastings, NE 68901-9122 | 2015-08-25 |
| 1801141866 | Jesse Tyndall | Physician Assistant | 2727 W 2nd St # 340, Hastings, NE 68901-4684 | 2012-07-16 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1427033653 | Andrea D. Clement | Physician Assistant | 2115 N Kansas Ave Ste 103, Hastings, NE 68901-2615 | 2005-12-09 |
| 1982687927 | Nicole Dawn Pfeil | Physician Assistant | 2115 North Kansas Avenue, Children & Adolescent Clinic PC, Hastings, NE 68901 | 2005-11-23 |
| 1053927442 | Christina Marie Lindahl | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2020-09-21 |
| 1760024558 | Megan Mcconnell | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2019-10-13 |
| Find all providers in HASTINGS | ||||
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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.