Kirt W Larson (NPI# 1053576504, PAC ID# 5991755753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053576504 |
| PAC ID by PECOS | 5991755753 |
| Professional Enrollment ID | I20050131000350 |
| Full Name | Kirt W Larson |
| Organization Legal Name | STEP MOUNTAIN MEDICAL INC |
| Address |
13352 S 5600 Herriman UT 84096-7173 |
| Phone Number | 8014462760 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901856764 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13352 S 5600, Herriman, UT 84096-7173 | 8014462760 | STEP MOUNTAIN MEDICAL INC |
| Organization Legal Name | STEP MOUNTAIN MEDICAL INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joylyn Cluny | Nurse Practitioner | Step Mountain Medical Inc | 13352 S 5600, Herriman, UT 84096-7173 |
| Street Address |
13352 S 5600 |
| City | HERRIMAN |
| State | UT |
| Zip | 84096-7173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joylyn Cluny | Nurse Practitioner | Step Mountain Medical Inc | 13352 S 5600, Herriman, UT 84096-7173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Colarusso | Chiropractic | 12571 S Pasture Rd E, Riverton, UT 84096-4814 | |
| Michael James Peterson | Family Medicine | Ihc Health Services Inc | 5541 W 13400, Riverton, UT 84096-5640 |
| Gregory Sharp Daynes | Family Medicine | Ihc Health Services Inc | 5541 W 13400, Riverton, UT 84096-5640 |
| Daniel C Howells | Optometry | 5069 W 13400 S, Suite 400, Riverton, UT 84096-6602 | |
| Teran A Warner | Chiropractic | 5069 W 13400, Suite 100, Herriman, UT 84096-6603 | |
| Leslie Claire Cagle | Physical Therapy | Herriman Physical Therapy PC | 13358 S 5600, Herriman, UT 84096-6789 |
| Paul Hulet | Optometry | 5528 W 13400, Harriman, UT 84096-6919 | |
| Wade Charles Thompson | Chiropractic | 5734 W 13400, Suite 200, Herriman, UT 84096-6953 | |
| Stephen B Devenport | Family Medicine | Granger Medical Clinic Inc | 12391 S 4000, Riverton, UT 84096-7012 |
| Alton D Burgett | Obstetrics/gynecology | Granger Medical Clinic Inc | 12391 S 4000, Riverton, UT 84096-7012 |
| Find all physicians in zip 84096 | |||
| City | HERRIMAN |
| Zip Code | 84096 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HERRIMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kirt W 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.