KENNETH ANDREW LARSON (NPI# 1659451441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659451441 |
| Entity Type | Individual |
| Full Name | KENNETH ANDREW LARSON |
| Credential | M. D. |
| Practice Address |
5511 S Congress Ave Suite 105 Atlantis FL 33462-1140 |
| Practice Telephone | 5619641635 |
| Practice Fax Number | 5619641636 |
| Mailing Telephone | 5619641635 |
| Mailing Fax Number | 5619641636 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME088693 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270211800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952462384 | Kenneth G Larson | Optometrist | 4580 State St, Green Acres Plaza, Saginaw, MI 48603-3803 | 2006-12-12 |
| 1891806675 | Kenneth L. Larson | Psychologist | 1891 E Roseville Pkwy Ste 100, Roseville, CA 95661-7974 | 2006-08-31 |
| 1629051974 | Kenneth Duane Larson | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2005-11-21 |
| 1487168977 | Kenneth Dale Larson | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2017-11-21 |
| 1043379829 | Kenneth B Larson | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2006-12-07 |
| 1174691836 | Kenneth Craig Larson | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-12-01 |
| 1689741795 | Kenneth W. Larson | Surgery | 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | 2006-11-30 |
| Street Address |
5511 S CONGRESS AVE SUITE 105 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281740 | Casey Gordon Boyer | Internal Medicine | 5511 S Congress Ave, Ste. 115, Atlantis, FL 33462-1140 | 2005-08-02 |
| 1568867364 | Ashley Miller | Counselor | 5511 S Congress Ave, Suite 125, Atlantis, FL 33462-1140 | 2014-10-23 |
| 1104239631 | Origins of Hope LLC | Substance Abuse Rehabilitation Facility | 5511 S Congress Ave, Ste. 125, Atlantis, FL 33462-1140 | 2014-06-02 |
| 1174848329 | Spine Institute, P.a. | Orthopaedic Surgery | 5511 S Congress Ave, Suite 101, Atlantis, FL 33462-1140 | 2010-03-31 |
| 1225352594 | Casey G. Boyer M.d., P.a. | Internal Medicine | 5511 S Congress Ave, Ste. 115, Atlantis, FL 33462-1140 | 2010-03-16 |
| 1801015177 | Palm Beach General Surgery LLC | Internal Medicine | 5511 S Congress Ave, Suite 135, Atlantis, FL 33462-1140 | 2007-04-25 |
| 1952348633 | Steven C Chang | Specialist | 5511 S Congress Ave, Suite 101, Atlantis, FL 33462-1140 | 2006-06-01 |
| 1346211422 | Richard Franklin Merzer | Internal Medicine | 5511 S Congress Ave, Suite105, Atlantis, FL 33462-1140 | 2006-01-27 |
| 1619959186 | Fares Qureiyeh | Internal Medicine | 5511 S Congress Ave, Suite 135, Atlantis, FL 33462-1140 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891122693 | Palm Beach General Surgery Dba Women's Health and Healing | Surgery | 5301 S Congress Ave Ste 400, Atlantis, FL 33462-1149 | 2013-10-11 |
| 1215176474 | Heidi Bahna | Surgery | 5511 S Congress Ave Ste 105, Atlantis, FL 33462 | 2009-02-11 |
| 1750311551 | Srinivas Kaza | Surgery | 142 John F Kennedy Dr, Atlantis, FL 33462-1159 | 2006-07-04 |
| 1598761587 | Robert Anthony Kozol | Surgery | 142 Jfk Drive, Atlantis, FL 33462 | 2005-06-23 |
| 1861768848 | Kandace Marisa Kichler | Surgery | 142 John F Kennedy Dr, Atlantis, FL 33462-1159 | 2012-03-23 |
| 1295016350 | Chadwick Towne Rastatter | Surgery | 5511 S Congress Ave Ste 105, Atlantis, FL 33462-1140 | 2011-09-02 |
| 1710040266 | Palm Beach General Surgery LLC | Surgery | 142 Jfk Drive, Atlantis, FL 33462 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1932713476 | Gabriel Nicolas Chapman | Surgery | 12301 Trout Cir, Spring Hill, FL 34609-4962 | 2020-09-02 |
| 1396356960 | After Hours Surgical Care LLC | Surgery | 11766 Foxbriar Lake Trl, Boynton Beach, FL 33473-7830 | 2020-08-16 |
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
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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.