Greg Eric Larsen (NPI# 1578879441, PAC ID# 4082892401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578879441 |
| PAC ID by PECOS | 4082892401 |
| Professional Enrollment ID | I20110706000386 |
| Full Name | Greg Eric Larsen |
| Organization Legal Name | ST. GEORGE KIDNEY CARE, LLC |
| Address |
624 S 1000 Suite 103 St George UT 84790-5902 |
| Phone Number | 4356521135 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567753460 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| 461309 | KANE COUNTY HOSPITAL |
| 291307 | MESA VIEW REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 624 S 1000, Suite 103, St George, UT 84790-5902 | 4356521135 | ST. GEORGE KIDNEY CARE, LLC |
| Organization Legal Name | ST. GEORGE KIDNEY CARE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Patchett | Nephrology | St. George Kidney Care, LLC | 624 S 1000, Suite 103, St George, UT 84790-5902 |
| Carlos Mercado | Nephrology | St. George Kidney Care, LLC | 624 S 1000, Suite 103, St George, UT 84790-5902 |
| Carlos A Leon | Nephrology | St. George Kidney Care, LLC | 624 S 1000, Suite 103, St George, UT 84790-5902 |
| Street Address |
624 S 1000 SUITE 103 |
| City | ST GEORGE |
| State | UT |
| Zip | 84790-5902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Patchett | Nephrology | St. George Kidney Care, LLC | 624 S 1000, Suite 103, St George, UT 84790-5902 |
| Carlos Mercado | Nephrology | St. George Kidney Care, LLC | 624 S 1000, Suite 103, St George, UT 84790-5902 |
| Carlos A Leon | Nephrology | St. George Kidney Care, LLC | 624 S 1000, Suite 103, St George, UT 84790-5902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | ST GEORGE |
| Zip Code | 84790 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST GEORGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Greg Eric 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.