MRS. RONDA L LARSON (NPI# 1902998461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902998461 |
| Entity Type | Individual |
| Full Name | MRS. RONDA L LARSON |
| Credential | PA-C |
| Practice Address |
807 N Ash St Gordon NE 69343-1132 |
| Practice Telephone | 3082821442 |
| Practice Fax Number | 3082821428 |
| Mailing Telephone | 3082821442 |
| Mailing Fax Number | 3082821428 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
590 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 37347 | 01 |
| NE | NE590 | 05 | |
| NE | MIDLANDS CHOICE | 6280 | 01 |
| Street Address |
807 N ASH ST |
| City | GORDON |
| State | NE |
| Zip Code | 69343-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013987064 | Doak Peter Doolittle | Surgery | 807 N Ash St, Gordon, NE 69343-1132 | 2006-01-24 |
| 1104478627 | Kaleigh Marie Krebs | Nurse Practitioner | 807 N Ash St, Gordon, NE 69343-1132 | 2019-07-15 |
| 1558921452 | Megan O'neil | Nurse Practitioner | 807 N Ash St, Gordon, NE 69343-1198 | 2019-06-13 |
| 1326182494 | Gordon Memorial Hospital | General Practice | 807 N Ash St, Gordon, NE 69343-1132 | 2007-02-20 |
| 1093807547 | Marjorie A Schmidt | Physician Assistant | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
| 1518059005 | Joel F Hutchins | Family Medicine | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558627729 | Ronald Charles Felton | Counselor | 305 Foch Street, Gordon, NE 69343 | 2012-04-02 |
| 1306855127 | City of Gordon Office of Comptroller | Ambulance | 208 North Elm St., Gordon, NE 69343 | 2006-08-08 |
| 1922252295 | Anpo Wicahpi Charging Thunder | Family Medicine | 807 N. Ash St, Gordon, NE 69343-0000 | 2008-11-12 |
| 1285647214 | Paul C Hessler IIi | Radiology | 309 Maple Ave, Gordon, NE 69343-0174 | 2006-08-14 |
| 1982779039 | Gordon Memorial Hospital | Medicare Defined Swing Bed Unit | 300 East 8th, Gordon, NE 69343-1123 | 2006-11-22 |
| 1952885964 | Erin Sandoz | Occupational Therapist | 300 E 8th St, Gordon, NE 69343-1123 | 2018-09-17 |
| 1245684455 | Bryan Felker | Physical Therapist | 300 E 8th St, Gordon, NE 69343-1123 | 2016-04-14 |
| 1154581429 | Cassie Marie Banks | Nurse Practitioner | 300 E 8th St, Gordon, NE 69343-1123 | 2008-06-11 |
| 1720276702 | Suzanne Beth Sachs | Physician Assistant | 300 E 8th St, Gordon, NE 69343-1123 | 2007-10-04 |
| 1376740761 | Martin Emerson Lambert | Nurse Anesthetist, Certified Registered | 300 E 8th St, Gordon, NE 69343-1123 | 2007-06-28 |
| Find all providers in zip 69343 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093807547 | Marjorie A Schmidt | Physician Assistant | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1639308893 | Lisa C Degen | Physician Assistant | 2116 W Faidley Ave Ste 400, Grand Island, NE 68803 | 2009-07-09 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| Find all providers with the same taxonomy | ||||
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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.