DR. JONATHAN L. LARSEN (NPI# 1992748339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992748339 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN L. LARSEN |
| Credential | M.D. |
| Practice Address |
8 John Kissinger Dr Wabash IN 46992 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2605692901 |
| Practice Fax Number | 2605692241 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01077231A | IN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD22506 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Elm St Sw, Suite 200, Albany, OR 973211956 | 5418124850 | 5418124889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149791 | Jonathan James Larsen | Pharmacist | 1501 East Walnut, Paris, AR 72855 | 2020-09-21 |
| Street Address |
8 JOHN KISSINGER DR |
| City | WABASH |
| State | IN |
| Zip Code | 46992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731782 | Rebecca A. Posner | Anesthesiology | 8 John Kissinger Dr, Wabash, IN 46992 | 2005-09-21 |
| 1265991632 | Janell Dockter | Registered Nurse | 8 John Kissinger Dr, Wabash, IN 46992-1648 | 2019-03-15 |
| 1083025316 | David W. Mays Jr. | Physician Assistant | 8 John Kissinger Dr, Wabash, IN 46992-1648 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289169 | Vdp Wabash LLC | Dentist | 278 Manchester Ave., 278 Manchester Ave., Wabash, IN 46992 | 2020-06-10 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1295279321 | Neil Bever | Chiropractor | 60 West Hill Street, Wabash, IN 46992 | 2016-12-08 |
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1447543541 | Nathan Steven Holley | Chiropractor | 508 North Wabash Street, Wabash, IN 46992 | 2011-05-23 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1154416709 | Tim J Mcvicker | Counselor | 255 N. Miami St., Wabash, IN 46992 | 2006-10-03 |
| 1841395571 | David Lee Frischman | Chiropractor | 508 N Wabash St, Wabash, IN 46992 | 2006-09-14 |
| Find all providers in zip 46992 | ||||
| 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 |
|---|---|---|---|---|
| 1891750089 | Catherine Reese | Obstetrics & Gynecology | 8 John Kissinger Drive, Wabash, IN 46992-1648 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815885 | Candice Marie Miles | Obstetrics & Gynecology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-03-09 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1417458225 | Arthur Galstian Md LLC | Obstetrics & Gynecology | 9240 N Meridian St Ste 180, Indianapolis, IN 46260-2065 | 2018-02-27 |
| 1225537319 | Jeannette Colon, M.d., P.C. | Obstetrics & Gynecology | 401 Wall St Unit A, Valparaiso, IN 46383-2585 | 2018-02-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1598113458 | Zachary Christopher Dobbin | Obstetrics & Gynecology | 10215 Broadway Ste 207, Crown Point, IN 46307-8001 | 2016-06-01 |
| 1821446774 | Jessica Mae Healey | Obstetrics & Gynecology | 1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 | 2016-06-01 |
| 1801240775 | Bridget Marie Kennedy | Obstetrics & Gynecology | 225 S Emmons St, Denver, IN 46926-2300 | 2016-04-18 |
| 1013370485 | Ashley Seidner | Obstetrics & Gynecology | 395 Westfield Rd # B, Noblesville, IN 46060-1425 | 2016-04-01 |
| 1508237272 | Columbus Regional Health Physicians, LLC | Obstetrics & Gynecology | 2450 Northpark Dr, Suite A, Columbus, IN 47203-2292 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JONATHAN L. LARSEN.
| 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.