CLINT LARSEN (NPI# 1861656332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861656332 |
| Entity Type | Individual |
| Full Name | CLINT LARSEN |
| Credential | DPM |
| Practice Address |
5801 S Fashion Blvd Ste 120 Murray UT 84107-8115 |
| Mailing Address |
837 E. Cedar St Suite 100 South Bend IN 46617 |
| Practice Telephone | 8012611391 |
| Mailing Telephone | 5742377338 |
| Mailing Fax Number | 5742377881 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 41000220 | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5801 S FASHION BLVD STE 120 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-8115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124282991 | Rachel A Bills | Speech-Language Pathologist | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2008-07-10 |
| 1386254837 | Le Ngu, Licensed Psychologist | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2020-08-08 |
| 1245895002 | Laken Shirey | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2019-05-07 |
| 1245773399 | Surgery Center Anesthesia, LLC | Anesthesiology | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2016-11-21 |
| 1447609987 | Granger Medical Clinic, PC | Internal Medicine | 5801 S Fashion Blvd, Suite 140, Murray, UT 84107 | 2016-06-06 |
| 1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
| 1619347135 | Utah Spine Institute | Clinic/Center | 5801 S Fashion Blvd, Suite 180, Murray, UT 84107-6159 | 2015-09-26 |
| 1215312640 | Desiree S Hammer | Physician Assistant | 5801 S Fashion Blvd, Ste 180, Murray, UT 84107-6159 | 2015-07-27 |
| 1306181268 | Canada Chiropractic A Professional Corporation | Point of Service | 5801 S Fashion Blvd, Suite 175, Murray, UT 84107-6159 | 2012-12-04 |
| 1255680559 | Murray Surgical | Clinic/Center | 5801 S Fashion Blvd, #190, Murray, UT 84107-6159 | 2012-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487780177 | Ihc Health Services Inc | Podiatrist | 6272 Highland Dr, Murray, UT 84121-2126 | 2007-02-26 |
| 1992868681 | Stuart A Naulty & Roger D Lampkin | Podiatrist | 908 B South 12th Street, Murray, KY 42071-2949 | 2006-12-18 |
| 1053423459 | Roger D Lampkin Jr. | Podiatrist | 908 B South 12th St, Murray, KY 42071-2949 | 2006-08-31 |
| 1366411753 | L. Craig Larsen | Podiatrist | 5801 Fashion Blvd, # 120, Murray, UT 84107-6159 | 2006-03-16 |
| 1609337682 | Braden Jenkins | Podiatrist | 5169 S Cottonwood St Ste 303, Murray, UT 84107-6768 | 2019-03-30 |
| 1538526439 | Ihc Health Services Inc | Podiatrist | 181 E Medical Tower Dr, Murray, UT 84107 | 2016-01-22 |
| 1427449933 | Roger D Lampkin Jr | Podiatrist | 908 S 12th St, Suite B, Murray, KY 42071-2949 | 2015-02-05 |
| 1427130335 | Clark C Larsen | Podiatrist | 5801 Fashion Blvd, #120, Murray, UT 84107-6159 | 2006-10-19 |
| 1235241696 | Stuart A Naulty | Podiatrist | 908 B South 12th St, Murray, KY 42071-2949 | 2006-08-31 |
| 1134188394 | L Craig Larsen Dpm PC | Podiatrist | 5801 Fashion Blvd, # 120, Murray, UT 84107-6159 | 2006-03-17 |
| Find all providers in MURRAY | ||||
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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.