Raymond L. Larsen, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RAYMOND L. LARSEN, MD

Practice address

916 5TH Ave NE
Jamestown, ND 58401-3437

Phone

(701) 252-9020

Fax

(701) 252-2209

NPI assigned

Feb 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micheal Grounds

Title

Administrator

Phone

(701) 252-9020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Lloyd Larsen, M.D.

  • Ophthalmology Physician
  • Jamestown, ND
  • NPI 1932193737
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1043601065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 5TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013437",
            "telephone_number": "701-252-9020",
            "fax_number": "701-252-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 5TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013437",
            "telephone_number": "701-252-9020",
            "fax_number": "701-252-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND L. LARSEN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "GROUNDS",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-252-9020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10092",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Services, P.a.
• Shamso Osman Rage
• Tim L Randall, LAC
• Madeline Ranum, CEP, CCRP
• Colleen Kaye Rask
• Sarah Lynn Redding
• Shelby Reed, ATC
• Donna J Rehak, LSW
• Leah Anna Marie Reimers, RD
• Courtney M Reinarts, LCSW

• Ophthalmology Physician in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Ophthalmology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.