Dr. James Richard Larson
Sports Medicine Doctor
8100 W 78th St Suite 225
Edina
, Minnesota 55439-2516
Dr. James Richard Larson
Sports Medicine Doctor
8100 W 78th St Suite 225
Edina
, Minnesota 55439-2516
(612) 262-5000
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. James Richard Larson
- 2925 Chicago Ave
- Minneapolis, MN
- Zip : 55407-1321
- Phone : (612) 262-5000
Second Address
- Dr. James Richard Larson
- 8100 W 78th St Suite 225
- Edina, MN
- Zip : 55439-2516
- Fax : (952) 946-9888
- Phone : (952) 946-9777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 21916 | MN |
National Provider Identifier
| NPI | 1013970144 |
|---|---|
| Provider Name | Dr. James Richard Larson |
| First Address | Minneapolis, MN 55407-1321 |
| Second Address | Edina, MN 55439-2516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 28/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0831003 | PREFERRED ONE (01) | MN |
| 0900642 | MEDICA (01) | MN |
| 0900642 | SELECT CARE (01) | MN |
| 107654 | PATIENT CHOICE (01) | MN |
| 128870 | UCARE (01) | MN |
| 198J6LA | BLUECROSS/SHIELD (01) | MN |
| 200044850 | RAILROAD MEDICARE (01) | MN |
| 23853 | AMERICA'S PPO (01) | MN |
| 349202800 | (05) | MN |
| D81728 | (02) | MN |
| HP13781 | HEALTHPARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.