DR. LARRY R. NELSON (NPI# 1801814892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801814892 |
| Entity Type | Individual |
| Full Name | DR. LARRY R. NELSON |
| Credential | M.D. |
| Practice Address |
1800 Cooks Hill Rd Centralia WA 98531-9072 |
| Mailing Address |
1401 Marvin Rd Ne Suite 307 Pmb 266 Lacey WA 98516-5709 |
| Practice Telephone | 3607360713 |
| Practice Fax Number | 3603308680 |
| Mailing Telephone | 3604915055 |
| Mailing Fax Number | 3604915890 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 252-9 0013431 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1625003 | 05 | |
| WA | BLUE CROSS/BLUE SHIELD | L00240 | 01 |
| WA | L&I WORKERS COMP | 14818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601322 | Larry E Nelson | Pharmacist | 1307 2nd St S Unit C, Moorhead, MN 56560-4066 | 2008-02-22 |
| 1932292430 | Larry W. Nelson | Psychiatry & Neurology | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-02 |
| 1518986264 | Larry D Nelson | Chiropractor | 2585 Channing Way, Idaho Falls, ID 83404-7516 | 2006-07-19 |
| 1659306603 | Larry H Nelson | Dentist | 5945 Wescott Rd, Columbia, SC 29212-2717 | 2006-07-11 |
| 1477510493 | Larry Ralph Nelson | Emergency Medicine | 809 S 15th St, Mount Vernon, WA 98274-4564 | 2006-04-26 |
| 1831167279 | Larry M Nelson | Podiatrist | 344 Lafayette Ave, Hawthorne, NJ 07506-2506 | 2006-03-10 |
| 1083033492 | Larry Nelson | Pharmacist | 1025 Garner Field Rd, Uvalde, TX 78801-4809 | 2014-04-14 |
| 1225260631 | Larry Nelson | Counselor | 214 Haight St, San Francisco, CA 94102-6127 | 2009-08-18 |
| 1306950076 | Larry Dean Nelson | Physician Assistant | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-18 |
| 1306864301 | Larry F Nelson | Anesthesiology | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-07-17 |
| Street Address |
1800 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649267196 | Loren D Cooper | Internal Medicine | 1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 | 2005-09-30 |
| 1316339385 | Justin Charles Cooper | Physician Assistant | 1800 Cooks Hill Rd, Suite F, Centralia, WA 98531-9072 | 2015-02-26 |
| 1093150914 | Sheila Ann Cichoski | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2013-05-06 |
| 1437418175 | Lewis County Community Health Services | Clinic/Center | 1800 Cooks Hill Rd, Suite G, Centralia, WA 98531-9162 | 2012-05-15 |
| 1336430966 | Jacqueline Register | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2011-04-30 |
| 1649574682 | Stephen Bentley | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2011-01-05 |
| 1902115371 | Medical Massage Inc | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-10-01 |
| 1194031138 | Stephanie Feuchter | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1912213943 | Linda Young | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1639485675 | Krista Hilleary | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073810354 | Tom Martin Md Sc | Internal Medicine | 1050 Ml King Dr, Suite 104, Centralia, IL 62801-3060 | 2011-02-22 |
| 1518132489 | Gibran Hamid Mahmud | Internal Medicine | 1052 M L King Dr, Suite 2, Centralia, IL 62801-3002 | 2008-04-23 |
| 1831369735 | Rajendra R Shroff Md Sc | Internal Medicine | 1050 M L King Dr Ste 101, Centralia, IL 62801-3060 | 2008-03-06 |
| 1417090044 | Romil Wadhawan | Internal Medicine | 1010 S Scheuber Rd, Suite 3&4, Centralia, WA 98531-8892 | 2007-02-14 |
| 1689714511 | Habibur Rahman | Internal Medicine | 2857, 161 East, Box 1233, Centralia, IL 62801-9118 | 2007-02-08 |
| 1699792242 | Guito Wingfield | Internal Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-17 |
| 1265467930 | Jong-wook Ban | Internal Medicine | 1010 S Scheuber Rd Ste 3&4, Centralia, WA 98531-8892 | 2006-07-11 |
| 1942260427 | Hari P Pathi | Internal Medicine | 914 S. Scheuber Road, Pmg Sw Wa PCh Hospitalists, Centralia, WA 98531 | 2006-03-27 |
| 1649267196 | Loren D Cooper | Internal Medicine | 1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 | 2005-09-30 |
| 1851392229 | James Louis Schutzenhofer | Internal Medicine | 1050 Martin Luther King Drive, Centralia, IL 62801 | 2005-08-09 |
| Find all providers in CENTRALIA | ||||
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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.