GERALD BURKELY LARSEN (NPI# 1821314824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821314824 |
| Entity Type | Individual |
| Full Name | GERALD BURKELY LARSEN |
| Other Name | BURKE LARSEN |
| Credential | D.C. |
| Practice Address |
5319 Adams Ave Pkwy Ste D Ogden UT 84405-4773 |
| Mailing Address |
Po Box 9641 Ogden UT 84409-0641 |
| Practice Telephone | 8014793200 |
| Mailing Telephone | 8014793200 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 7564602-1202 | UT | Chiropractic Providers |
| Street Address |
5319 ADAMS AVE PKWY STE D |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821279803 | Sessions Sleep Center, LLC | Clinical Medical Laboratory | 5319 Adams Ave Pkwy, Suite C, Ogden, UT 84405-4773 | 2007-11-19 |
| 1639590961 | Bumalafa | Chiropractor | 5319 Adams Ave Pkwy, Ste D, Ogden, UT 84405-4773 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005419 | Elite Corrections Chiropractic | Chiropractor | 1893 E Skyline Dr Ste 204, Ogden, UT 84403-5228 | 2020-02-20 |
| 1790252922 | Aubrey Hunter | Chiropractor | 314 W Mulberry St, Ogden, IA 50212-7352 | 2018-10-25 |
| 1245694728 | Pain & Injury Clinic of Utah | Chiropractor | 1186 E. 4600 S., Suite 220, Ogden, UT 84403 | 2016-04-11 |
| 1013290030 | Functional Chiropractic Pllc | Chiropractor | 329 W Walnut St, Ogden, IA 50212-3048 | 2011-09-26 |
| 1093049462 | Tucker Chiropractic | Chiropractor | 526 Riley Ave, Ogden, KS 66517-0103 | 2009-10-01 |
| 1871744334 | Charles W Stohel | Chiropractor | 1028 40th St, Ogden, UT 84403-2404 | 2008-10-02 |
| 1437314655 | Advanced Chiropractic | Chiropractor | 1069 Stewart St # 1, Ogden, UT 84404-1337 | 2008-07-28 |
| 1265696546 | Eric C Satterthwaite | Chiropractor | 1069 Stewart St Ste 1, Ogden, UT 84404-1337 | 2008-07-15 |
| 1497939276 | Kevin A Roberts Inc | Chiropractor | 924 24th St, Suite 2, Ogden, UT 84401-2641 | 2007-12-28 |
| 1255513107 | Joshua Raphael Phelps | Chiropractor | 1900 Washington Blvd, Suite 104, Ogden, UT 84401-6850 | 2007-12-03 |
| Find all providers in OGDEN | ||||
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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.