Dr Larry Douglas Van Fossen, DO | |
5955 Rand Blvd, Sarasota, FL 34238-5160 | |
(941) 893-6620 | |
(941) 748-8440 |
Full Name | Dr Larry Douglas Van Fossen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 5955 Rand Blvd, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497778054 | NPI | - | NPPES |
114329900 | Medicaid | FL | |
0981826 | Medicaid | OH | |
300135298 | Other | OH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LH0002X | Anesthesiology - Hospice And Palliative Medicine | 34.005429 (Ohio) | Secondary |
207L00000X | Anesthesiology | OS18532 (Florida) | Primary |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | New Albany Orthopedic Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000 |
Entity Name | Northstar Anesthesia Of Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Douglas Van Fossen, DO 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 893-6620 | Dr Larry Douglas Van Fossen, DO 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 893-6620 |
Stephen L. Berkes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1261 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-366-1164 Fax: 941-365-1387 | |
Dr. Myrdalis Diaz-ramirez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1958 Prospect St, Sarasota, FL 34239 Phone: 941-557-7242 Fax: 941-557-7241 | |
Dr. Matthew O Waldron, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1261 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-366-1164 | |
Kayla Florio, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5731 Bee Ridge Rd, Sarasota, FL 34233 Phone: 941-342-1100 | |
Dena Lee Mcatee, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7126 Beneva Rd, Sarasota, FL 34238 Phone: 941-929-9530 Fax: 941-929-9529 | |
Kathryn Flavin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8383 S Tamiami Trl Unit 115, Sarasota, FL 34238 Phone: 941-375-3006 | |
Mary L Vonwaldner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1261 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-366-2360 Fax: 941-366-3123 |