Jeffrey A Larson (NPI# 1013166990, PAC ID# 4082857594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1013166990 |
| PAC ID by PECOS | 4082857594 |
| Professional Enrollment ID | I20130903000446 |
| Full Name | Jeffrey A Larson |
| Organization Legal Name | BLESSING CORPORATE SERVICES |
| Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Phone Number | 5732313706 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5991616138 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140015 | BLESSING HOSPITAL |
| 141315 | ILLINI COMMUNITY HOSPITAL |
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Medical Dr, Hannibal, MO 63401-6877 | 5732313706 | BLESSING CORPORATE SERVICES |
| 927 Broadway St, Quincy, IL 62301-2719 | 2172246423 | BLESSING CORPORATE SERVICES |
| Organization Legal Name | BLESSING CORPORATE SERVICES |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyla R Kasparie | Nurse Practitioner | Blessing Corporate Services | 910 Broadway St, Suite D, Quincy, IL 62301-2729 |
| Clark Olavi Andelin | Obstetrics/gynecology | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Taofik Nasrat | Neurology | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Elise Scoggin | Dermatology | Blessing Corporate Services | 1132 Broadway St, Suite 200, Quincy, IL 62301-2818 |
| Katherine Anne Phillips | Nurse Practitioner | Blessing Corporate Services | 1102 N County Rd, Suite 700, Warsaw, IL 62379-3011 |
| Diane Nutter | Nurse Practitioner | Blessing Corporate Services | 326 N 24th St, Quincy, IL 62301-3140 |
| Erik Nothold | Chiropractic | Blessing Corporate Services | 332 S 36th St, Suite 3, Quincy, IL 62301-5808 |
| Brittany Egley | Nurse Practitioner | Blessing Corporate Services | 103 E Commercial St, Kahoka, MO 63445-1701 |
| Mary Jo Crawford | Family Medicine | Blessing Corporate Services | 102 E Marion St, Paris, MO 65275-1041 |
| Richard L Ohalloran | Urology | Blessing Corporate Services | 1414 Main St, Keokuk, IA 52632-3926 |
| Street Address |
100 MEDICAL DR |
| City | HANNIBAL |
| State | MO |
| Zip | 63401-6877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher John Norbet | Diagnostic Radiology | Clinical Radiologists, S.c. | 100 Medical Dr, Hannibal, MO 63401-6877 |
| Mallory E Cummings | Nurse Practitioner | Virginia Physicians Inc | 100 Medical Dr, Ashland, VA 23005-1125 |
| Craig N Rosebrock | Internal Medicine | Physicians Staffing Solutions | 100 Medical Dr, Suite 300, Dublin, GA 31021-2561 |
| Edward Hayes | Urology | 100 Medical Dr, Suite 100, Dublin, GA 31021-2561 | |
| Salman Aleem | Family Medicine | Ramsey Inpatient Physicians Pllc | 100 Medical Dr, Lake Jackson, TX 77566-5674 |
| Barbara K Tuley | Internal Medicine | Hannibal Clinic Operations, LLC | 100 Medical Dr, Hannibal, MO 63401-6877 |
| Douglas E Strebeck | Certified Registered Nurse Anesthetist (crna) | Seven Flags Anesthesia Associates, Pllc | 100 Medical Dr, Lake Jackson, TX 77566-5674 |
| Patricia S Kilian | Certified Registered Nurse Anesthetist (crna) | Seven Flags Anesthesia Associates, Pllc | 100 Medical Dr, Lake Jackson, TX 77566-5674 |
| Anne Witson | Pathology | Baylor College of Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 |
| Jeremy H Richter | Orthopedic Surgery | Hughston Clinic PC | 100 Medical Dr, Dublin, GA 31021-2561 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Miller | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harsha Desai | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Hemal Mahesh Patel | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Victor A Maalouf | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Lance W Dorsey | Diagnostic Radiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Charles Rey Watson | Anesthesiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Ni Jin | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harjodh Puar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Nadine L Davis | Certified Registered Nurse Anesthetist (crna) | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Sohail Gulzar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Find all physicians in zip 63401 | |||
| City | HANNIBAL |
| Zip Code | 63401 |
| Specialty | UROLOGY |
| City + Specialty | HANNIBAL + UROLOGY |
Please comment or provide details below to improve the information on Jeffrey A 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.