MARK R LAROSE (NPI# 1972682680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972682680 |
| Entity Type | Individual |
| Full Name | MARK R LAROSE |
| Credential | M.D. |
| Practice Address |
424 W State Highway 5 Waconia MN 55387-1723 |
| Practice Telephone | 9524424461 |
| Practice Fax Number | 9524424419 |
| Mailing Telephone | 9524424461 |
| Mailing Fax Number | 9524424419 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 41390 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
424 W STATE HIGHWAY 5 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891725727 | Jaimee Danielle Mcpadden | Family Medicine | 424 W State Highway 5, Waconia, MN 55387-1723 | 2006-07-04 |
| 1518464601 | Alicia Pysick | Nurse Practitioner | 424 W State Highway 5, Waconia, MN 55387-1795 | 2018-04-06 |
| 1427561802 | Ashley Sivanich | Physician Assistant | 424 W State Highway 5, Waconia, MN 55387-1723 | 2017-11-08 |
| 1295180586 | Abigail Krin Elliott | Family Medicine | 424 W State Highway 5, Waconia, MN 55387-1723 | 2016-04-25 |
| 1487037073 | Erin Kathleen Dahn | Registered Nurse | 424 W State Highway 5, Waconia, MN 55387-1723 | 2015-07-01 |
| 1407199110 | David J C Arens | Podiatrist | 424 W State Highway 5, Waconia, MN 55387-1723 | 2013-04-01 |
| 1821379272 | Tracy Lynn Ingham | Nurse Practitioner | 424 W State Highway 5, Lakeview Clinic Ltd, Waconia, MN 55387-1723 | 2011-08-30 |
| 1669608352 | Jennifer Kristin Ische | Family Medicine | 424 W State Highway 5, Waconia, MN 55387-1723 | 2009-06-08 |
| 1255573416 | Erin Luann Chinnock | Obstetrics & Gynecology | 424 W State Highway 5, Waconia, MN 55387-1723 | 2009-04-01 |
| 1134368160 | Tara Lynn Mcmichael | Internal Medicine | 424 W State Highway 5, Waconia, MN 55387-1723 | 2009-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379178 | Cheryl A Hansen | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-10 |
| 1255573416 | Erin Luann Chinnock | Obstetrics & Gynecology | 424 W State Highway 5, Waconia, MN 55387-1723 | 2009-04-01 |
| 1609033364 | Lisa Chapman | Obstetrics & Gynecology | 424 W State Highway 5, Waconia, MN 55387-1723 | 2008-05-20 |
| 1144416728 | Andraya J Huldeen-tibbetts | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2007-09-18 |
| 1063591725 | Amy J Meath | Obstetrics & Gynecology | 424 W State Highway 5, Waconia, MN 55387-1723 | 2006-11-03 |
| 1881793305 | Kathleen R Michalk | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2006-09-21 |
| 1093703316 | Western Ob/gyn Ltd | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-11 |
| 1275521577 | Nancy K Cooley | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-11 |
| 1699763995 | Matthew A Weinrich | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-11 |
| 1558359869 | Sarah A Freitas | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-11 |
| Find all providers in WACONIA | ||||
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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.