DR. ETHAN ERIK LARSON (NPI# 1871741124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871741124 |
| Entity Type | Individual |
| Full Name | DR. ETHAN ERIK LARSON |
| Credential | MD |
| Practice Address |
1501 N Campbell Ave Rm 5334 Box 245062 Tucson AZ 85724-5062 |
| Mailing Address |
2701 E Elvira Rd Uahn Botsford Center Tucson AZ 85756-7124 |
| Practice Telephone | 5206266264 |
| Practice Fax Number | 5206263330 |
| Mailing Telephone | 5206266264 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2013-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 42811 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083975759 | Ethan James Larson | Dentist | 210 4th Ave Sw, Puyallup, WA 98371-5863 | 2012-05-30 |
| Street Address |
1501 N CAMPBELL AVE RM 5334 BOX 245062 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346559135 | Philip Fleishman | Plastic Surgery | 1656 E Kleindale Rd, Tucson, AZ 85719-1917 | 2010-09-28 |
| 1851598247 | Gwendolyn Sue Maxwell | Plastic Surgery | 2490 E River Rd, Tucson, AZ 85718-6522 | 2007-06-28 |
| 1417072539 | Patricia Navarrette Mars | Plastic Surgery | 4041 E. Sunrise Dr., Tucson, AZ 85718 | 2007-03-20 |
| 1952440810 | Kurt Robert Reinke | Plastic Surgery | 4721 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2007-02-06 |
| 1942355805 | Todd C. Case | Plastic Surgery | 4741 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2007-01-23 |
| 1376657049 | Robert Merrill Dryden | Plastic Surgery | 1241 N Wilmot Rd, Tucson, AZ 85712-5154 | 2006-08-18 |
| 1518976950 | John Thomas Collins | Plastic Surgery | 2385 N Ferguson, #101, Tucson, AZ 85712 | 2006-08-05 |
| 1073552667 | Christopher T Maloney Jr. | Plastic Surgery | 3170 N Swan Rd, Tucson, AZ 85712-1227 | 2006-06-06 |
| 1467405084 | Armando J Alfaro Jr. | Plastic Surgery | 2304 North Rosemont Blvd, Tucson, AZ 85712 | 2006-05-17 |
| 1245295864 | Edward Eades | Plastic Surgery | 5700 E Pima St, Suite A, Tucson, AZ 85712-5601 | 2006-04-18 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on DR. ETHAN ERIK LARSON.
| 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.