Organization Active NPI

Larkins Neurosurgery PA

  • Neurological Surgery Physician
  • Saint Paul, MN
National Provider Identifier
1114217940
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
LARKINS NEUROSURGERY PA
Practice address
889 Grand Ave
Ste 102
Saint Paul, MN 55105-3008
Phone
(612) 412-8044
Fax
(651) 292-4171
NPI assigned
Apr 13, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Mark Vaughn Larkins, M.D.NPI 1740230317
Title
President
Phone
(612) 412-8044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

889 Grand Ave
Ste 102
Saint Paul, MN 55105-3008

Mailing address

889 Grand Ave
Ste 102
Saint Paul, MN 55105-3008
Phone (612) 412-8044

National Provider Directory

National Provider Directory

Locations

889 Grand Ave
Ste 102
Saint Paul, MN 55105
Phone (612) 412-8044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1114217940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 GRAND AVE",
            "address_2": "STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053008",
            "telephone_number": "612-412-8044",
            "fax_number": "651-292-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 GRAND AVE",
            "address_2": "STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053008",
            "telephone_number": "612-412-8044",
            "fax_number": "651-292-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKINS NEUROSURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "LARKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-412-8044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.