KENNETH S LARSEN (NPI# 1588767081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588767081 |
| Entity Type | Individual |
| Full Name | KENNETH S LARSEN |
| Credential | MD |
| Practice Address |
9600 S 1300 E #308 Sandy UT 84094-3766 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015015590 |
| Mailing Telephone | 8015015590 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 932612681205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952406027 | Kenneth Theodore Larsen Jr. | Emergency Medicine | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2006-09-14 |
| 1619089778 | Kenneth David Larsen | Anesthesiology | 10180 Se Sunnyside Rd, Department of Anesthesiology, Clackamas, OR 97015-8970 | 2006-08-31 |
| 1053343707 | Kenneth A Larsen | Psychologist | 20 Guest St, Ste 225, Brighton, MA 02135-2065 | 2006-07-06 |
| 1003894940 | Kenneth Robert Larsen | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-12-31 |
| Street Address |
9600 S 1300 E #308 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841250602 | Leon W Hansen | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-03-24 |
| 1215285614 | Carlie Ann Yearsley | Advanced Practice Midwife | 9600 S 1300 E, Ste. 310, Sandy, UT 84094-3766 | 2012-08-16 |
| 1447569702 | Alicia Jones, Md PC | Clinic/Center | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2010-10-04 |
| 1639326119 | Andrea Vicki O'neal | Midwife | 9600 S 1300 E, Suite 310, Sandy, UT 84094-3766 | 2008-08-26 |
| 1205093721 | Douglas M Vogeler Md PC | Family Medicine | 9600 S 1300 E, Suite 303, Sandy, UT 84094-3766 | 2008-05-21 |
| 1124207170 | Leon W. Hansen, Md PC | Clinic/Center | 9600 S 1300 E, 300, Sandy, UT 84094-3766 | 2007-10-26 |
| 1588843536 | Russell A. Smith, Md PC | Clinic/Center | 9600 S 1300 E, 300, Sandy, UT 84094-3766 | 2007-10-26 |
| 1457568453 | Miquelle M Smith | Nurse Practitioner | 9600 S 1300 E, Suite 302, Sandy, UT 84094-3766 | 2007-05-17 |
| 1992925853 | Judie Fe Guzman | Physician Assistant | 9600 S 1300 E, Suite 301, Sandy, UT 84094-3766 | 2007-04-25 |
| 1063539401 | Richard F. Labasky, Md, PC | Urology | 9600 S 1300 E, Suite #301, Sandy, UT 84094-3766 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1750684676 | Gregory C. Tanner, M.d. P.C. | Obstetrics & Gynecology | 9600 S 1300 E Ste 305, Sandy, UT 84094-3767 | 2010-12-15 |
| 1841250602 | Leon W Hansen | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-03-24 |
| 1275897324 | Ihc Health Services Inc | Obstetrics & Gynecology | 9660 S 1300 E, Ste 310, Sandy, UT 84094-3762 | 2012-07-03 |
| 1376833046 | Jonathan Bradford Gibson | Obstetrics & Gynecology | 9450 S 1300 E, Sandy, UT 84094-5555 | 2011-04-14 |
| 1538463187 | Layne A Smith, Md PC | Obstetrics & Gynecology | 9600 S 1300 E Ste 305, Sandy, UT 84094-3767 | 2010-12-22 |
| 1558676957 | Erickson Surgical Consulting Pllc | Obstetrics & Gynecology | 10011 Centennial Pkwy, Suite 150, Sandy, UT 84070-4156 | 2010-08-10 |
| 1992835268 | Ihc Health Services Inc | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2007-03-06 |
| 1134254220 | Ihc Health Services Inc | Obstetrics & Gynecology | 9720 S 1300 E, #e230, Sandy, UT 84094-3712 | 2007-02-22 |
| 1528121779 | Alicia Tabish Jones | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-12-19 |
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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.