Jade Douglas Larson (NPI# 1245637883, PAC ID# 9537481114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1245637883 |
| PAC ID by PECOS | 9537481114 |
| Professional Enrollment ID | I20141210001156 |
| Full Name | Jade Douglas Larson |
| Organization Legal Name | TRI-STATE CHIROPRACTIC PC |
| Address |
1515 5th Ave Suite 101 Belle Fourche SD 57717-6032 |
| Phone Number | 6058924845 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1355419359 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1515 5th Ave, Suite 101, Belle Fourche, SD 57717-6032 | 6058924845 | TRI-STATE CHIROPRACTIC PC |
| Organization Legal Name | TRI-STATE CHIROPRACTIC PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Mae Gervais-larson | Chiropractic | Tri-state Chiropractic PC | 1515 5th Ave, Suite 101, Belle Fourche, SD 57717-6032 |
| Douglas J Larson | Chiropractic | Tri-state Chiropractic PC | 1515 5th Ave, Suite 101, Belle Fourche, SD 57717-6032 |
| Street Address |
1515 5TH AVE SUITE 101 |
| City | BELLE FOURCHE |
| State | SD |
| Zip | 57717-6032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Mae Gervais-larson | Chiropractic | Tri-state Chiropractic PC | 1515 5th Ave, Suite 101, Belle Fourche, SD 57717-6032 |
| Douglas J Larson | Chiropractic | Tri-state Chiropractic PC | 1515 5th Ave, Suite 101, Belle Fourche, SD 57717-6032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn D Stinton | Chiropractic | 517 Grant St, Belle Fourche, SD 57717-1415 | |
| Julie L Wingen | Physical Therapy | Pain and Movement Solutions LLC | 511 National St, Suite 101, Belle Fourche, SD 57717-1800 |
| Andrew Menigoz | Physical Therapy | Pain and Movement Solutions LLC | 511 National St, Suite 101, Belle Fourche, SD 57717-1800 |
| Melanie Rye | Physical Therapy | Pain and Movement Solutions LLC | 511 National St, Suite 101, Belle Fourche, SD 57717-1800 |
| Abby J Johnson | Chiropractic | 1407 5th Ave, Suite 200, Belle Fourche, SD 57717-2080 | |
| Heidi J Nash | Optometry | Black Hills Vision Care Prof LLC | 1830 5th Ave, Belle Fourche, SD 57717-2089 |
| James E Trimble | Optometry | Black Hills Vision Care Prof LLC | 1830 5th Ave, Belle Fourche, SD 57717-2089 |
| Ladonna R Bender | Nurse Practitioner | Regional Health Network Inc | 2200 13th Ave, Belle Fourche, SD 57717-2215 |
| Kerry H Greear | Nurse Practitioner | Regional Health Network Inc | 2200 13th Ave, Belle Fourche, SD 57717-2215 |
| Garrett R Cox | Diagnostic Radiology | Regional Health Network Inc | 2200 13th Ave, Belle Fourche, SD 57717-2215 |
| Find all physicians in zip 57717 | |||
| City | BELLE FOURCHE |
| Zip Code | 57717 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BELLE FOURCHE + CHIROPRACTIC |
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| 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.