Angie Larsen MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30449 Issued in TN

Legal business name

ANGIE LARSEN MD

Practice address

Suite 205
395 Wallace Rd BLDG B
Nashville, TN 37211-4881

Phone

(615) 832-0909

Fax

(615) 832-0933

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Angie Larsen, MD

Title

Owner

Phone

(615) 832-0909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angie R Larsen MD Doing business as

Locations

Practitioners 1

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

• Timothy Mark Ruff, MD

  • Surgery Physician
  • Jerseyville, IL
  • NPI 1629016753

  Surgery

  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1154495828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 205",
            "address_2": "395 WALLACE RD BLDG B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114881",
            "telephone_number": "615-832-0909",
            "fax_number": "615-832-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 205",
            "address_2": "395 WALLACE RD BLDG B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114881",
            "telephone_number": "615-832-0909",
            "fax_number": "615-832-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE LARSEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-832-0909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "30449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3835757",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angie R Larsen MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Angel, LPTA
• Corina Angell
• Angels Care, Inc
• Angels of Faith Home Health Care LLC
• Melissa Angevine
• Gina Marie Piscopo Angley, AU.D.
• Abigail L Anglum, APN
• Comfort M Anih, RNC,MS,WHNP
• Sarah Nicole Ankrom, MSN, CNM
• Cindy Anku

• All providers in Nashville, TN
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.