Roger K Larson MD PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00007073 Issued in WA

Legal business name

ROGER K LARSON MD PS

Practice address

14212 Ambaum Blvd SW
Suite 201
Burien, WA 98166-1449

Phone

(206) 244-5477

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Roger K Larson, MD

Title

Authorized Official

Phone

(206) 244-5477

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Margaret Lynn Larson, ARNP

  • Family Nurse Practitioner
  • Renton, WA
  • NPI 1699788539
  NPD (past)
• James William Rice Jr., MD

  • Family Medicine Physician
  • Renton, WA
  • NPI 1811298441
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1093708422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW",
            "address_2": "SUITE 201",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661449",
            "telephone_number": "206-244-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW",
            "address_2": "SUITE 201",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661449",
            "telephone_number": "206-244-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER K LARSON MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-244-5477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00007073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "011899328",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132384",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert P Ward, DDS
• Joseph Roberts
• Camille A Robinson, LMHC
• Melissa Rodgers
• Daniell Rodia, NC60272736
• Kimberly Ann Rogers, L.M.P.
• Sarah E Rogers, MD
• Neeru Rohila-Chadha, AU.D.
• Courtney Marie Rohleder, RN, MHP
• Arian R Rolfes, AAC

• Family Medicine Physician in Burien, WA
• Providers in Burien, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.