Eric Jacob Larsen (NPI# 1205490661, PAC ID# 8628307519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205490661 |
| PAC ID by PECOS | 8628307519 |
| Professional Enrollment ID | I20190830001672 |
| Full Name | Eric Jacob Larsen |
| Organization Legal Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Address |
1415 E Kincaid St Mount Vernon WA 98274-4126 |
| Phone Number | 3604165750 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800793522 |
| Number of Group Practice Members | 212 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500003 | SKAGIT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 3604165750 | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Organization Legal Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Physicians | 216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashton Taylor De Cardenas | Physician Assistant | Public Hospital Dist No 1 Skagit | 2320 Fwy Dr, Mount Vernon, WA 98273-5445 |
| Lloyd David Hubler | Orthopedic Surgery | Public Hospital Dist No 1 Skagit | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 |
| Mark Litton | Family Medicine | Public Hospital Dist No 1 Skagit | 9631 269th St Nw, Stanwood, WA 98292-8071 |
| Jeremy Ginoza | Family Medicine | Public Hospital Dist No 1 Skagit | 819 S 13th St, Mount Vernon, WA 98274-4112 |
| Joshua D. Griggs | Family Medicine | Public Hospital Dist No 1 Skagit | 127 N E Camano Dr, Suite A117, Camano Island, WA 98282-8732 |
| Sandra J Hadjinian | Urology | Public Hospital Dist No 1 Skagit | 3823 172nd St Ne, Arlington, WA 98223-7735 |
| Kent A Fry | Physician Assistant | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Mary Ann Hink | Internal Medicine | Public Hospital Dist No 1 Skagit | 1990 Hospital Dr, Sedro Woolley, WA 98284-9315 |
| Nathan P Meltzer | Obstetrics/gynecology | Public Hospital Dist No 1 Skagit | 903 Medical Ctr Dr, Arlington, WA 98223-1697 |
| Phillip S Burk | Family Medicine | Public Hospital Dist No 1 Skagit | 405 W Stanley St, Granite Falls, WA 98252-8631 |
| Street Address |
1415 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip | 98274-4126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent A Fry | Physician Assistant | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Seth D Hartung | Critical Care (intensivists) | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Joseph E. Wilson | Obstetrics/gynecology | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Jongwoo Song | Internal Medicine | South Sound Inpatient Physicians Pllc | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Leah N Kiviat | Diagnostic Radiology | Skagit Digital Imaging LLC | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Abhinav Singla | Internal Medicine | South Sound Inpatient Physicians Pllc | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Masoud S Taleghani | Internal Medicine | South Sound Inpatient Physicians Pllc | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| David F Hoeft | Internal Medicine | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Patti Jo Brettell | Neurology | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Samuel L Collins | Physician Assistant | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Lawson | Chiropractic | 400 E Division St, Mount Vernon, WA 98274-3924 | |
| John G Holden | Chiropractic | 400 E Division St, Mount Vernon, WA 98274-3924 | |
| Matthew C Bergen | Physical Therapy | Cascade Rehabilitation Associates LLC | 111 S 12th St, Suite B, Mount Vernon, WA 98274-4000 |
| Shelby E Echelbarger | Physical Therapy | Cascade Rehabilitation Associates LLC | 111 S 12th St, Suite B, Mount Vernon, WA 98274-4000 |
| Bryon Alexander Flett | Physical Therapy | Cascade Rehabilitation Associates LLC | 111 S 12th St, Suite B, Mount Vernon, WA 98274-4000 |
| Jamie L Southard | Chiropractic | 113 S 11th St, Mount Vernon, WA 98274-4025 | |
| Lauren B Jaye | Certified Nurse Midwife (cnm) | 1617 E Division St, Lauren Jaye Women's Healthcare LLC, Mt Vernon, WA 98274-4053 | |
| John T Register | Radiation Oncology | Kantorowitz and Whiton Pllc | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 |
| Naseem Afrasiabi Ghazanfari | Cardiovascular Disease (cardiology) | Public Hospital Dist No 1 Skagit | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 |
| Devyn Nicole Nixon | Nurse Practitioner | Public Hospital Dist No 1 Skagit | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 |
| Find all physicians in zip 98274 | |||
| City | MOUNT VERNON |
| Zip Code | 98274 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNT VERNON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Eric Jacob 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.