Michael J Larson (NPI# 1326080573, PAC ID# 1355334079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1326080573 |
| PAC ID by PECOS | 1355334079 |
| Professional Enrollment ID | I20040407000499 |
| Full Name | Michael J Larson |
| Organization Legal Name | THURSTON EMERGENCY GROUP A PROFESSIONAL LLC |
| Address |
3900 Capital Mall Dr Sw Olympia WA 98502-8654 |
| Phone Number | 3607545858 |
| Gender | M |
| Credential | MD |
| Medical School | ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4688740517 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500139 | CAPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 3607545858 | THURSTON EMERGENCY GROUP A PROFESSIONAL LLC |
| Organization Legal Name | THURSTON EMERGENCY GROUP A PROFESSIONAL LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret L Hall | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Matthew Todd Moody | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Karolyn Kay Moody | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Mark T Larson | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Deanna Marie Musfeldt | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Yung L Lee | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Beverly R Harn | Emergency Medicine | Thurston Emergency Group A Professional LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Street Address |
3900 CAPITAL MALL DR SW |
| City | OLYMPIA |
| State | WA |
| Zip | 98502-8654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Cowan | Otolaryngology | Capital Medical Center Specialty Physicians, LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Richard L Urbon Jr. | Internal Medicine | Capital Medical Center Specialty Physicians, LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Nicholas Ondrasik | Pulmonary Disease | Capital Medical Center Specialty Physicians, LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Jason A Mcintosh | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Timothy Feldmann | General Surgery | Capital Medical Center Specialty Physicians, LLC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Calvin Takchun Wong | Anesthesiology | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Christopher Snell | Anesthesiology | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Erik C Engen | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Daniel J Hanson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Rachel L Chard | Critical Care (intensivists) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry E Swartling | Chiropractic | 3663 College St Se F, Lacey, WA 98502 | |
| Shane R Son | Family Medicine | 404 Black Hills Lane Sw, Suite D, Olympia, WA 98502 | |
| Donald Michael Soran | Chiropractic | 1115 Black Lake Blvd Sw, Suite A, Olympia, WA 98502-1026 | |
| Nancy Jane Sullivan | Clinical Social Worker | 1800 Cooper Point Sw Rd, 24b, Olympia, WA 98502-1039 | |
| Suzan I Kudick | Chiropractic | 1800 Cooper Point Rd Sw, Suite 24a, Olympia, WA 98502-1039 | |
| Harrison E Williams | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Kristyn M Schlenker | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw B, Olympia, WA 98502-1049 |
| Brad A Payne | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Andrea D Gallo | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Jennifer G Zoller | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Find all physicians in zip 98502 | |||
| City | OLYMPIA |
| Zip Code | 98502 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | OLYMPIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael J Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.