DR. SCOTT REX LARSEN (NPI# 1982913679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982913679 |
Entity Type | Individual |
Full Name | DR. SCOTT REX LARSEN |
Credential | MD |
Practice Address |
2240 Adams Ave Ogden UT 84401-1511 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 8013935355 |
Practice Fax Number | 8013944609 |
Mailing Telephone | 8013875300 |
Enumeration Date | 2010-09-29 |
Last Update Date | 2012-02-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104113489 | Scott David Larsen | Pharmacist | 200 North Marketplace Drive, Centerville, UT 84025 | 2011-07-07 |
1669770053 | Scott A. Larsen | Chiropractor | 330 S Monroe St, San Jose, CA 95128-5108 | 2011-03-09 |
1134443682 | Scott Larsen | Pharmacist | 2100 Gateway Centre Blvd, 300, Morrisville, NC 27560-6228 | 2010-03-25 |
1356464903 | Scott Craig Larsen | Dentist | 201 W Guadalupe Rd Ste 102, Gilbert, AZ 85233-3318 | 2007-04-09 |
1023147295 | Scott Christian Larsen | Dentist | 240 Village Center St, Nixa, MO 65714-8869 | 2007-03-05 |
1346343373 | Scott Coburn Larsen | Dentist | 245 E Broadway, Jackson, WY 83001 | 2006-09-06 |
Street Address |
2240 ADAMS AVE |
City | OGDEN |
State | UT |
Zip Code | 84401-1511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588660864 | Angela Epstein | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2005-06-22 |
1376108381 | Vanessa Jones | Nurse Practitioner | 2240 Adams Ave, Ogden, UT 84401-1511 | 2019-05-06 |
1437713450 | Brock D Rose | Dentist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2019-04-25 |
1104365113 | Derek Petersen | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2017-02-23 |
1932650199 | Angeleena Harrison | Pharmacist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2016-10-21 |
1023465564 | Heather D Larson | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2016-05-13 |
1346619285 | Amanda Gougler | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2015-09-22 |
1164825618 | Kathryn Evans | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-09-29 |
1427468248 | Jessica Griffin | Pharmacist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-05-01 |
1679997779 | Joshua Tew | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-02-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
Find all providers in zip 84401 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689299737 | Joshua Jene Holloway | Student in an Organized Health Care Education/Training Program | 1563 27th St, Ogden, UT 84403-0410 | 2020-06-15 |
1639794860 | Colleen Degroot | Student in an Organized Health Care Education/Training Program | 1465 26th St, Ogden, UT 84401-2933 | 2020-06-12 |
1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
1346797479 | Nehida Estevez | Student in an Organized Health Care Education/Training Program | 201 Wildcat Vlg, Ogden, UT 84408 | 2016-09-07 |
1063968741 | Robert J Reeve | Student in an Organized Health Care Education/Training Program | 4050 Taylor Ave, Ogden, UT 84403-2528 | 2016-08-31 |
1659774263 | Andrew Richards | Student in an Organized Health Care Education/Training Program | 490 W 24th St, Ogden, UT 84401-1223 | 2014-09-28 |
1316347172 | Alex Leonardi | Student in an Organized Health Care Education/Training Program | 1435 Village Drive, Dept. 2801, Ogden, UT 84408 | 2014-08-29 |
1346511532 | Landon Deru | Student in an Organized Health Care Education/Training Program | 3730 Brinker Ave, Ogden, UT 84403-2019 | 2012-01-19 |
1811120223 | Lizbeth Velazquez | Student in an Organized Health Care Education/Training Program | 391 Madison Ave, Ogden, UT 84404-2423 | 2009-09-02 |
Find all providers in OGDEN |
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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.