ERIC C LARSEN (NPI# 1548299548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548299548 |
| Entity Type | Individual |
| Full Name | ERIC C LARSEN |
| Credential | M.D. |
| Practice Address |
100 Campus Dr Unit 107 Scarborough ME 04074-9692 |
| Mailing Address |
190 Riverside St Suite 6b Portland ME 04103-1073 |
| Practice Telephone | 2078857565 |
| Practice Fax Number | 2078857577 |
| Mailing Telephone | 2076612000 |
| Mailing Fax Number | 2076612033 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD16882 | ME | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD16882 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431781999 | 05 | |
| NH | 30003473 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346503364 | Eric Mellor Larsen | Social Worker | 5308 Northstar St, Anchorage, AK 99518 | 2012-06-25 |
| 1083793004 | Eric Noel Larsen | Optometrist | 7324 W Cheyenne Ave, Suite 1, Las Vegas, NV 89129-7427 | 2006-11-02 |
| 1205490661 | Eric Jacob Larsen | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2019-04-30 |
| 1235634270 | Eric K Larsen | Counselor | 39 South Fullerton Avenue, 3rd Floor, Montclair, NJ 07042 | 2018-03-29 |
| 1386039626 | Eric Larsen | Student in an Organized Health Care Education/Training Program | 25 S 9th St, Philadelphia, PA 19107-4408 | 2015-04-03 |
| 1770998353 | Eric Paul Larsen | Family Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2014-06-23 |
| 1235479478 | Eric Christian Larsen | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2013-02-25 |
| 1912293135 | Eric M Larsen | Podiatrist | 1610 W Townline St, Creston, IA 50801-1066 | 2011-06-27 |
| 1760700678 | Eric Larsen | Nurse Practitioner | 2321 W Dayton Airport Rd, Post Office Box 900, Shelton, WA 98584-6319 | 2010-05-17 |
| 1922266972 | Eric Jon Larsen | Anesthesiology | 2401 S 31st St, Temple, TX 76508-0001 | 2008-05-27 |
| Street Address |
100 CAMPUS DR UNIT 107 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-9692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678112 | Gary M Hochheiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2005-06-13 |
| 1720525447 | Theresa Roelke | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2017-01-20 |
| 1083162481 | Kathlene Gravelin | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2016-09-14 |
| 1851781710 | Katherine Anne Lafferty | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1700276581 | Amanda Lamb | Genetic Counselor, MS | 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1073803144 | Summer D Mowry | Nurse Practitioner | 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 | 2011-04-11 |
| 1912204033 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 107, Scarborough, ME 04074 | 2011-02-25 |
| 1841596517 | Mainehealth | Internal Medicine | 100 Campus Dr, Suite 110, Scarborough, ME 04074 | 2011-01-28 |
| 1053647024 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 103, Scarborough, ME 04074-7171 | 2009-10-27 |
| 1588801773 | Karen Anne Phelps | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2009-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013945708 | Aaron R Weiss | Pediatrics | 100 Campus Drive, Unit 107, Scarborough, ME 04074-9692 | 2006-06-29 |
| 1871549451 | Stanley Chaleff | Pediatrics | 100 Campus Dr, Unit 107, Scarborough, ME 04074-9692 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992913255 | Stephen Blattner | Pediatrics | 17 Cole Field Rd, Cape Elizabeth, ME 04107-9676 | 2007-05-18 |
| 1528334406 | Chittalsinh M. Raulji | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2012-03-26 |
| 1760757868 | Subha Mazzone | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412 | 2012-03-21 |
| 1134428899 | Daniel Lee Callaway | Pediatrics | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2011-03-21 |
| 1366548935 | Sarah J Fryberger | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2006-09-14 |
| 1780617175 | Hassan Dannawi | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-07-08 |
| 1497782767 | Judith B Allen | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-06-26 |
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on ERIC C LARSEN.
| 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.