Jeff David Larsen (NPI# 1104819622, PAC ID# 3173424538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104819622 |
| PAC ID by PECOS | 3173424538 |
| Professional Enrollment ID | I20100715000089 |
| Full Name | Jeff David Larsen |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
144 S Plum St Ellsworth WI 54011-4137 |
| Phone Number | 7152735041 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521349 | RIVER FALLS AREA HOSPITAL |
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 521335 | HUDSON HOSPITAL |
| 240038 | ALLINA UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 144 S Plum St, Ellsworth, WI 54011-4137 | 7152735041 | FAIRVIEW HEALTH SERVICES |
| 1617 E Division St, River Falls, WI 54022-1571 | 7153076600 | ALLINA HEALTH SYSTEM |
| 1629 E Division St, River Falls, WI 54022-1571 | ALLINA HEALTH SYSTEM | |
| 1687 E Division St, River Falls, WI 54022-1571 | 7154256701 | FAIRVIEW HEALTH SERVICES |
| 1687 E Division St, River Falls, WI 54022-1571 | 6512416550 | ALLINA HEALTH SYSTEM |
| 1687 E Division St, River Falls, WI 54022-1571 | WESTERN WISCONSIN MEDICAL ASSOCIATES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
144 S PLUM ST |
| City | ELLSWORTH |
| State | WI |
| Zip | 54011-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy F. Steinmetz | Family Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Kerith W Lijewski | Family Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Christopher Harry Tashjian | Family Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| David M Wilhelm | Family Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| David W Gregg | Physician Assistant | Western Wisconsin Medical Associates | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Monica Pesavento | Family Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Benjamin Morgan | Internal Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Debra M Sanders | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Gregory Thomas Goblirsch | Family Medicine | Fairview Health Services | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Kurt A Helmrick | Physician Assistant | Western Wisconsin Medical Associates | 144 S Plum St, Ellsworth, WI 54011-4137 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald S Nyeggen | Chiropractic | 105 N Piety St, Ellsworth, WI 54011-5073 | |
| Gregory W Bernard | Chiropractic | 330 W Main St, Ellsworth, WI 54011-5087 | |
| Kyle T Kollbaum | Chiropractic | 430 N Maple St, Suite 200, Ellsworth, WI 54011-9029 | |
| Samantha Kay Johnson | Chiropractic | Ellsworth Chiropractic Inc | 187 E Main St, Ellsworth, WI 54011-9188 |
| Gayle A Nissen | Chiropractic | Ellsworth Chiropractic Inc | 187 E Main St, Ellsworth, WI 54011-9188 |
| Evie L Christensen | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 530 W Cairns St, Ellsworth, WI 54011-9225 |
| Robb G Rutledge | Orthopedic Surgery | Mayo Clinic Health System - Red Wing | 530 W Cairns St, Ellsworth, WI 54011-9225 |
| William G Platz | Psychiatry | 412 W Kinne St, Ellsworth, WI 54011-9230 |
| City | ELLSWORTH |
| Zip Code | 54011 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ELLSWORTH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jeff David Larsen.
| 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.