Douglas C Larsen (NPI# 1053386631, PAC ID# 9032246947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053386631 |
| PAC ID by PECOS | 9032246947 |
| Professional Enrollment ID | I20100426000281 |
| Full Name | Douglas C Larsen |
| Organization Legal Name | EAR NOSE AND THROAT - HEAD AND NECK SURGERY P.C. |
| Address |
11704 W Ctr Rd Suite 211 Omaha NE 68144-4375 |
| Phone Number | 4023937050 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921106808 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11704 W Ctr Rd, Suite 211, Omaha, NE 68144-4375 | 4023937050 | EAR NOSE AND THROAT - HEAD AND NECK SURGERY P.C. |
| 555 Fortune Dr, Papillion, NE 68046-3421 | 4023937050 | EAR NOSE AND THROAT - HEAD AND NECK SURGERY P.C. |
| Organization Legal Name | EAR NOSE AND THROAT - HEAD AND NECK SURGERY P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Dobleman | Otolaryngology | Ear Nose and Throat - Head and Neck Surgery P.C. | 11704 W Ctr Rd, Suite 110, Omaha, NE 68144-4327 |
| Jean Marie Koliha | Nurse Practitioner | Ear Nose and Throat - Head and Neck Surgery P.C. | 11704 W Ctr Rd, Suite 211, Omaha, NE 68144-4375 |
| Street Address |
11704 W CTR RD SUITE 211 |
| City | OMAHA |
| State | NE |
| Zip | 68144-4375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason J Mickels | Orthopedic Surgery | Omaha Orthopedic Clinic and Sports Medicine PC | 11704 W Ctr Rd, Suite 200, Omaha, NE 68144-4327 |
| Edward V Fehringer | Orthopedic Surgery | Columbus Community Hospital Inc | 11704 W Ctr Rd, Omaha Orthopedic Clinic and Sports Me, Omaha, NE 68144-4375 |
| Thomas J Dobleman | Otolaryngology | Ear Nose and Throat - Head and Neck Surgery P.C. | 11704 W Ctr Rd, Suite 110, Omaha, NE 68144-4327 |
| Wallace E Duff | Otolaryngology | 11704 W Ctr Rd, Suite 210, Omaha, NE 68144-4327 | |
| Michael R Baker | Physician Assistant | Omaha Orthopedic Clinic and Sports Medicine PC | 11704 W Ctr Rd, Suite 200, Omaha, NE 68144-4327 |
| James Sevcik | Physical Therapy | Omaha Orthopedic Clinic and Sports Medicine PC | 11704 W Ctr Rd, Suite 200, Omaha, NE 68144-4327 |
| Jean Marie Koliha | Nurse Practitioner | Ear Nose and Throat - Head and Neck Surgery P.C. | 11704 W Ctr Rd, Suite 211, Omaha, NE 68144-4375 |
| Ian D Crabb | Orthopedic Surgery | Omaha Orthopedic Clinic and Sports Medicine PC | 11704 W Ctr Rd, Suite 200, Omaha, NE 68144-4327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Ruth Person | Nurse Practitioner | Advanced Dermatology of The Midlands PC | 12910 Pierce St, Suite 120, Omaha, NE 68144-1105 |
| Emily Sobczyk | Occupational Therapy | Premere Rehab LLC | 111 Sterling Ridge Dr, Omaha, NE 68144-1275 |
| Emily Ann Horrum | Speech Language Pathologist | Premere Rehab LLC | 111 Sterling Ridge Dr, Heritage At Sterling Ridge, Omaha, NE 68144-1275 |
| Michelle L Mikuls | Physical Therapy | Premere Rehab LLC | 111 Sterling Ridge Dr, Omaha, NE 68144-1275 |
| Michael C Luebbert | Psychologist, Clinical | 1243 S 119th St, Omaha, NE 68144-1603 | |
| Brian J Brockman | Chiropractic | 11917 Pierce Plz, Omaha, NE 68144-1648 | |
| Tammy Sue Richert | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Brett N Briggs | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Heidi J Lichtenberg | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Steven J Gradowski | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Find all physicians in zip 68144 | |||
| City | OMAHA |
| Zip Code | 68144 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OMAHA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Douglas C 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.