DR. ERIC PAUL LARSEN (NPI# 1770998353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770998353 |
| Entity Type | Individual |
| Full Name | DR. ERIC PAUL LARSEN |
| Credential | D.O. |
| Practice Address |
2827 Fort Missoula Rd Missoula MT 59804-7408 |
| Mailing Address |
11610 Cattail Way Missoula MT 59802-8743 |
| Practice Telephone | 4063274171 |
| Mailing Telephone | 8177332713 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2017-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MED-PHYS-LIC-586 | MT | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1295827947 | Eric John Larsen | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2006-09-29 |
| Street Address |
2827 FORT MISSOULA RD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597639 | Vern Hicks Horton | Surgery | 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804-7408 | 2005-12-06 |
| 1922612431 | Jaala M Wickman | Student in an Organized Health Care Education/Training Program | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-09-02 |
| 1679193551 | Jared Hartley | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-21 |
| 1316567332 | Pat Roosa | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
| 1033739123 | Sarah Elliott | Speech-Language Pathologist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
| 1578183836 | Evelyn M Redfern | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
| 1811517196 | Rebeccah Tye Mcmillan | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
| 1447888557 | Bryann Lea Bausch | Social Worker | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-01 |
| 1528694684 | Kate Elizabeth Berry | Nurse Practitioner | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-03-19 |
| 1316583511 | Hospitalist Medicine Physicians of California - Tcs, PC | Internal Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194257865 | Christopher Hallberg | Family Medicine | 445 W Alder St, Missoula, MT 59802-4121 | 2017-03-31 |
| 1881051340 | Amber Leigh Guy | Family Medicine | 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 | 2016-01-28 |
| 1861889024 | Andrew Scott Stritzke | Family Medicine | 2831 Fort Missoula Rd, Buidling 2, Ste 146, Missoula, MT 59804-7401 | 2015-04-24 |
| 1205084167 | Robert Franklin Stanchfield | Family Medicine | 77 Brookside Way, Missoula, MT 59802 | 2008-09-04 |
| 1144353707 | Sam A Wallace | Family Medicine | 341 W Pine St, Missoula, MT 59802-4119 | 2007-03-13 |
| 1639254709 | Timothy J Mccue | Family Medicine | 41 Wildground Ln, Missoula, MT 59802-3335 | 2006-10-26 |
| 1780769901 | Gregory D Hutton | Family Medicine | 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 | 2006-10-26 |
| 1568543106 | Harold Mark Coward | Family Medicine | 3700 S Russell St Ste 115, Missoula, MT 59801-8579 | 2006-10-18 |
| 1720171994 | Sandra Lauren Shepherd | Family Medicine | 2825 Fort Missoula Rd Ste 115, Missoula, MT 59804-7403 | 2006-10-02 |
| 1922106004 | James H Quirk Jr. | Family Medicine | 2230 North Reserve St, Missoula, MT 59808 | 2006-09-20 |
| Find all providers in MISSOULA | ||||
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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.