Mr Nicholas James Larsen, DO | |
4401 Harrison Blvd, Ogden, UT 84403-3195 | |
(801) 387-2800 | |
(770) 701-6675 |
Full Name | Mr Nicholas James Larsen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 4401 Harrison Blvd, Ogden, Utah |
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 |
---|---|---|---|
1164644464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 3084-321 (Wisconsin) | Secondary |
207L00000X | Anesthesiology | 7650570-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mckay Dee Hospital | Ogden, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Anesthesia Llc | 9032018502 | 246 |
Entity Name | Mountain West Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas James Larsen, DO Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Mr Nicholas James Larsen, DO 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-2800 |
Mark S Naisbitt, M.D., PC Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 Fax: 801-733-5618 | |
Dr. John L Haws, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 | |
Bryce Larre Egbert, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 Fax: 770-701-6675 | |
Dr. Andrew W. Allen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-727-2056 Fax: 770-701-6675 | |
Michael Laurence Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 | |
Mr. Spencer B Hyde, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 Fax: 770-701-6675 | |
Brian K Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 Fax: 801-733-5618 |