James D Larson, MD | |
975 Port Washington Rd, Suite 320, Grafton, WI 53024-9201 | |
(262) 329-8100 | |
Not Available |
Full Name | James D Larson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 975 Port Washington Rd, Grafton, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164632410 | NPI | - | NPPES |
C7-0003751 | Other | DE | ACGME TRAINING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | C7-0003751 (Delaware) | Secondary |
208600000X | Surgery | C1-0010142 (Delaware) | Secondary |
208600000X | Surgery | 60324 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Aurora Health Care North Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477508687 PECOS PAC ID: 9436067402 Enrollment ID: O20040211000368 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
James D Larson, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | James D Larson, MD 975 Port Washington Rd, Suite 320, Grafton, WI 53024-9201 Ph: (262) 329-8100 |
Dr. Abhishek Sundaram, M.B.B.S Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Gwenn K. Pavlovitz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Road, Suite 320, Grafton, WI 53024 Phone: 262-387-8100 | |
Michael D Erickson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-387-8300 | |
Nicholas Ward, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 |