MELISSA DIANE LARSON (NPI# 1972050961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972050961 |
| Entity Type | Individual |
| Full Name | MELISSA DIANE LARSON |
| Credential | M.D. |
| Practice Address |
13260 Service Rd Walton KY 41094-9565 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8594854116 |
| Mailing Telephone | 8594854116 |
| Mailing Fax Number | 8594851389 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52180 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13260 Service Rd, Walton, KY 410949565 | 8594854116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392001 | Melissa Larson | Social Worker | 400 E North St, Somonauk, IL 60552-3162 | 2020-07-01 |
| 1215387303 | Melissa Larson | Specialist/Technologist, Other | 2150 Town Square Pl Ste 250, Sugar Land, TX 77479-1676 | 2016-06-20 |
| 1710316302 | Melissa Kay Larson | Registered Nurse | 1325 Michigan Ave, Adrian, MI 49221-2526 | 2013-11-05 |
| 1851638175 | Melissa Irene Larson | Massage Therapist | 7516 Bridgeport Way W, Lakewood, WA 98499-8448 | 2013-01-07 |
| 1437408457 | Melissa Kim Larson | Speech-Language Pathologist | 5384 Chelsea St, La Jolla, CA 92037-7912 | 2012-09-05 |
| 1639655319 | Melissa Ann Larson | Speech-Language Pathologist | 147 E Olive Ave, Monrovia, CA 91016-3407 | 2018-07-16 |
| 1336625409 | Melissa Larson | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526-4673 | 2018-07-12 |
| 1548692155 | Melissa Jo Larson | Counselor | 2311 Park Ave Ste 3, Burley, ID 83318-2104 | 2013-08-06 |
| 1114299500 | Melissa Larson | Licensed Practical Nurse | 99 Washington Ave, Suffern, NY 10901-6026 | 2012-02-01 |
| 1578857876 | Melissa Rene Larson | Counselor | 1172 3rd Ave, Chula Vista, CA 91911-3116 | 2011-06-03 |
| Street Address |
13260 SERVICE RD |
| City | WALTON |
| State | KY |
| Zip Code | 41094-9565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983859 | Joseph E Martin | Internal Medicine | 13260 Service Rd, Walton, KY 41094-9565 | 2005-12-22 |
| 1407874282 | Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group | Family Medicine | 13260 Service Rd, Walton, KY 41094-9565 | 2006-07-18 |
| 1033146881 | Nancy Shupe Mathew | Family Medicine | 13260 Service Rd, Walton, KY 41094-9565 | 2006-06-27 |
| 1124061981 | Anne T Donovan | Family Medicine | 13260 Service Rd, Walton, KY 41094 | 2006-06-13 |
| 1427095843 | Linda Gooch | Family Medicine | 13260 Service Rd, Walton, KY 41094 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464617 | Alexis S Goodridge | Nurse Practitioner | 13260 Service Road, Walton, KY 41094 | 2020-03-31 |
| 1235307810 | Richard Todd Hurles | Nurse Anesthetist, Certified Registered | 288 University Dr, Walton, KY 41094 | 2008-02-15 |
| 1255487484 | Huey Dental Associates | Dentist | 75 North Main Street, Walton, KY 41094 | 2007-01-29 |
| 1164451415 | Courtney Smith | Social Worker | 308 Barnes Pike, Williamstown, KY 41094 | 2006-06-30 |
| 1346240165 | Walton Fire Protection District | Ambulance | 12600 Town Center Dr, Walton, KY 41094 | 2005-07-22 |
| 1902181258 | Sandra Jean Alexander-lewis | Nurse Practitioner | 635 Chestnut Dr, Walton, KY 41094 | 2011-10-19 |
| 1023245610 | Kimberly Marie Hudson | Optometrist | 27 N Main St, Walton, KY 41094 | 2009-06-22 |
| 1679613467 | Bradley Gaines Huey | Dentist | 75 North Main Street, Walton, KY 41094 | 2007-02-08 |
| 1629119391 | Anne Marcele Huey | Dentist | 75 North Main Street, Walton, KY 41094 | 2007-02-08 |
| 1477744803 | Walton Verona Schools | Local Education Agency (LEA) | 16 School Rd, Walton, KY 41094-1038 | 2007-08-09 |
| Find all providers in zip 41094 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316298250 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-10-01 |
| 1215952544 | Francine Robinson Mosley | Family Medicine | 625 Chestnut Dr Ste 106, Walton, KY 41094-7845 | 2006-07-13 |
| 1699748624 | Otsego Medical Services P.C. | Family Medicine | 6 Franklin Rd, Walton, NY 13856-1214 | 2006-02-09 |
| 1982687901 | Luis Francisco Rodriguez-betancourt | Family Medicine | 42 Griswold St, Walton, NY 13856-1338 | 2005-11-23 |
| 1396743407 | Michael J Freeman | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2005-07-12 |
| 1639423411 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-11-01 |
| 1952565343 | Dove Cai | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2008-07-15 |
| 1245410869 | Joshua A Kadetz | Family Medicine | 625 Chestnut Dr, Walton, KY 41094-7845 | 2007-11-12 |
| 1568546182 | Valentina Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-10-24 |
| 1538264346 | Vadim Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-09-14 |
| Find all providers in WALTON | ||||
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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.