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DR. AMANDA CELEST ROOF LARSON M.D. NPI 1336464544


NPI Information

NPI: 1336464544
Provider Name: DR. AMANDA CELEST ROOF LARSON, M.D.
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Individual

Specialization: Pediatric Orthopaedic Surgery

PECOS Registration: Yes

Address:
315 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405
Phone: (253) 403-1000
Get Directions

DR. Amanda Celest Roof Larson, M.D. is a pediatric orthopaedic surgery orthopaedic surgery in Tacoma, WA. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Amanda Celest Roof Larson, M.D. NPI is 1336464544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

315 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405-234
Phone: (253) 403-1000

The NPI 1336464544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2010 and was last updated on 2/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery43587IOWANo
2207X00000XOrthopaedic Surgery65700WISCONSINNo
3207X00000XOrthopaedic SurgeryMD60482537WASHINGTONNo
4207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryMD60482537WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.