Timothy L Larson (NPI# 1982630828, PAC ID# 5698804458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982630828 |
| PAC ID by PECOS | 5698804458 |
| Professional Enrollment ID | I20150216001452 |
| Full Name | Timothy L Larson |
| Organization Legal Name | MICHAEL J. VENER MD PC |
| Address |
401 9th Ave Nw Watertown SD 57201-1548 |
| Phone Number | 6058822630 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840285805 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430005 | PRAIRIE LAKES HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 205 Orchard Dr, Sisseton, SD 57262-2312 | 6056987647 | GERALD M. RIEBER MD PC |
| 205 Orchard Dr, Sisseton, SD 57262-2312 | DR CASEY D. JOHNSTON MD PC | |
| 1201 Mickelson Dr, Suite 1, Watertown, SD 57201-7100 | 6058822630 | MICHAEL J. VENER MD PC |
| 401 9th Ave Nw, Watertown, SD 57201-1548 | 6058822630 | MICHAEL J. VENER MD PC |
| 401 9th Ave Nw, Watertown, SD 57201-1548 | GERALD M. RIEBER MD PC | |
| 401 9th Ave Nw, Watertown, SD 57201-1548 | DR CASEY D. JOHNSTON MD PC |
| Organization Legal Name | MICHAEL J. VENER MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Vener | Orthopedic Surgery | Michael J. Vener Md PC | 824 N 11th St, Montevideo, MN 56265-1629 |
| Lisa A Lee | Nurse Practitioner | Michael J. Vener Md PC | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Street Address |
401 9TH AVE NW |
| City | WATERTOWN |
| State | SD |
| Zip | 57201-1548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacklyn Ann Karli | Nurse Practitioner | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Salem Maaliki | Cardiovascular Disease (cardiology) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Elliott W Filler | Emergency Medicine | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Jeffrey Bergsbaken | Anesthesiology | Watertown Anesthesia PC | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Mark E Schulz | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Austin H Dale | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Keith A Wanner | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Miranda M Pray Dede | Obstetrics/gynecology | Sanford Clinic | 401 9th Ave Nw, Vascular Associates, Watertown, SD 57201-1548 |
| Jeffrey Ralph Smith | Dermatology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Gregory S Erickson | Emergency Medicine | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne E Snyder | Ophthalmology | 1225 4th St Ne, Snyder Eye Clinic, Watertown, SD 57201-1204 | |
| Beth A Kunkel | Optometry | Kunkel-snyder Optometric, P.c | 1225 4th St Ne, Watertown, SD 57201-1204 |
| Matthew C Kunkel | Optometry | Kunkel-snyder Optometric, P.c | 1225 4th St Ne, Watertown, SD 57201-1204 |
| Kari Jo E Fleming | Physician Assistant | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Bradley J Fishman | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Jeffrey Alan Dorrity | Otolaryngology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Nicole M Hirsch | Certified Registered Nurse Anesthetist (crna) | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Edward L Wegner | Pathology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Tina G Melanson | Nephrology | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Ragheb Harb | Hospitalist | Prairie Lakes Health Care Systems Inc | 401 9th Ave Nw, Watertown, SD 57201-1548 |
| Find all physicians in zip 57201 | |||
| City | WATERTOWN |
| Zip Code | 57201 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WATERTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy L 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.