DR. BRANDON TODD LARSEN (NPI# 1649409681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649409681 |
| Entity Type | Individual |
| Full Name | DR. BRANDON TODD LARSEN |
| Credential | M.D., PH.D. |
| Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
45568 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
55691 | MN | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
106145 | MN | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
R71711 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730532573 | Brandon H Larsen | Registered Nurse | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2016-07-17 |
| 1487969788 | Brandon Lee Larsen | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2010-08-11 |
| Street Address |
13400 E SHEA BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
| 1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
| 1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
| 1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
| 1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
| 1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
| 1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
| 1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| 1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134567829 | Yasmeen Mahmood Butt | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-06-05 |
| 1700024494 | Rish Kochikar Pai | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2009-02-03 |
| 1326207275 | Marcela Salomao | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2008-06-05 |
| 1548392558 | Bradford E Halliday | Pathology | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2007-03-12 |
| 1770696981 | Qun Lu | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2006-08-15 |
| 1144205691 | Henry Dale Tazelaar | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225122930 | Barnabas Newton | Pathology | 3929 E. Bell Rd., Phoenix, AZ 85032 | 2006-10-03 |
| 1962437475 | Shveta Mehra | Pathology | 2538 E University Dr, Ste 100, Phoenix, AZ 85034-6925 | 2006-07-12 |
| 1548240872 | Shobhana Shah | Pathology | 8826 N 23rd Ave, Phoenix, AZ 85021-4154 | 2006-01-20 |
| 1962786228 | Maricopa County Forensic Science Center | Pathology | 701 W Jefferson St, Phoenix, AZ 85007-2908 | 2011-10-05 |
| 1841426202 | Hany Magharyous | Pathology | 4610 South 44th Place, Phoenix, AZ 85040 | 2009-05-29 |
| 1306018692 | Rodelio C. Guintu | Pathology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2008-03-27 |
| 1073791877 | Anuj Bharat Sonawala | Pathology | 1661 E Camelback Rd, Arizona Pathology Group, Phoenix, AZ 85016-3911 | 2008-02-04 |
| 1073709747 | Ronald Joseph Paler Jr. | Pathology | 5005 S 40th St, Suite 1100, Phoenix, AZ 85040-2969 | 2007-09-17 |
| 1093856544 | Southern Arizona Pathology Associates, LLC. | Pathology | 1601 W. St. Mary's Road, Tucson, AZ 85745-2623 | 2007-02-09 |
| 1235294182 | Erika R Bracamonte | Pathology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-12-22 |
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| City | SCOTTSDALE |
| Zip Code | 85259 |
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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.