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RICHARD D. LARSON M.D. NPI 1134113822


NPI Information

NPI: 1134113822
Provider Name: RICHARD D. LARSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
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Richard D. Larson, M.D. is a family medicine in Louisville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Richard D. Larson, M.D. NPI is 1134113822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212-033
Phone: (502) 774-8631

The enumeration date for this NPI number is 9/8/2005 and was last updated on 3/10/2011.


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
1207Q00000XFamily Medicine27160KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10622301MEDICARE PINKENTUCKY
2P400036124MEDICARE PINKENTUCKY
3P400036127MEDICARE PINKENTUCKY
4P400036128MEDICARE PINKENTUCKY
5P400036131MEDICARE PINKENTUCKY
6B54460MEDICARE UPIN
764271604MEDICAIDKENTUCKY
8P400036132MEDICARE PINKENTUCKY
9P400036129MEDICARE PINKENTUCKY
10P400036130MEDICARE PINKENTUCKY

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.