Richard Lee Larson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ND5215 Issued in ND

Practice address

1300 Hospital Loop
Belcourt, ND 58316-0160

Phone

(701) 477-6111

Fax

(701) 477-2507

NPI assigned

Sep 22, 2006

Last updated

Dec 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presentation Medical CenterGroup PAC ID 5991764045, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presentation Medical Center Hospital, Rolla, ND, CCN 351316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richardlarson@pmc.securechart.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Presentation Medical Center

  • Critical Access Hospital
  • Rolla, ND
  • NPI 1265404958
  Medicare reassignment Care Compare group NPD
• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  Medicare reassignment NPD
• Mercy Home Care

  • Home Health Agency
  • Williston, ND
  • NPI 1871593723
  NPD
• Mercy Hospital of Valley City

  dba CHI Mercy Health

  • Critical Access Hospital
  • Valley City, ND
  • NPI 1477549111
  NPD
• Mercy Medical Center

  dba CHI St Alexius Health Williston

  • Emergency Medicine Physician
  • Williston, ND
  • NPI 1720194624
  NPD
• Presentation Medical Center

  • Clinic/Center
  • Rolla, ND
  • NPI 1992014518
  NPD
• Presentation Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Rolla, ND
  • NPI 1619033917
  NPD (past)
• Quentin N Burdick Comprehensive Health Care Facility

  • Pharmacist
  • Belcourt, ND
  • NPI 1245754548
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presentation Medical Center

  • Critical Access Hospital
  • Rolla, ND
  • NPI 1265404958
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1063512895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL LOOP",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "ND5215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01063",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi L Langan Martin, LPN
• Tyler George Lannoye
• Angela R Larocque, PHD
• Chani Lynn Larocque, LPS
• Shawna Larocque, LMT
• Carl L Lavallie
• Carollee A Lavallie, RN
• Chasity Michelle Lavallie
• Sara Maryrose Lavallie, CNA
• Shawna Lea Lebeau, RN

• Family Medicine Physician in Belcourt, ND
• Providers in Belcourt, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.