NPIMap

Individual provider Active NPI

Christopher M Larson

  • Surgery Physician
  • Aberdeen, SD
National Provider Identifier
1295990141
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7279 Issued in SD
Practice address
310 S Penn St
Suite 201
Aberdeen, SD 57401-4553
Phone
(605) 229-1367
Fax
(605) 229-1002
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7279 SD Primary

Addresses

Primary practice location

310 S Penn St
Suite 201
Aberdeen, SD 57401-4553

Mailing address

310 S Penn St
Suite 201
Aberdeen, SD 57401-4553
Phone (605) 229-1367

Other identifiers 1

IdentifierTypeStateIssuer
7302260MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000152 SD Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Thoracic SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 2163598764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery
Education
Sanford School of Medicine of University of South Dakota, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

111 W 10TH Ave
Redfield, SD 57469-1519
Phone (605) 622-2573

201 S Lloyd St
Suite E206
Aberdeen, SD 57401-4509
Phone (605) 622-2545

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

310 S Penn St
Aberdeen, SD 57401-4553

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Avera Hand County Memorial Hospital and Clinic Hospital, Miller, SD, CCN 431337
  • Community Memorial Hospital Hospital, Redfield, SD, CCN 431316
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Bowdle Hospital - Cah Hospital, Bowdle, SD, CCN 431318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy431
Hernia repair - groin (open)16
Hernia repair (minimally invasive)1-10
Mastectomy13
Upper gastrointestinal (GI) endoscopy for acid reflux321
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7279SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Lukes CurrentSince Aug 1, 2014 Accepting new patients
Avera St. Luke'S CurrentSince Aug 1, 2014 Accepting new patients
Avera McKennan CurrentSince May 1, 2025 Accepting new patients
Avera McKennan CurrentSince May 1, 2025 Accepting new patients
Avera St. Luke'S Current Accepting new patients
Avera McKennan CurrentSince Nov 1, 2025 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

310 S Pennsylvania St
Ste 201
Aberdeen, SD 57401
Phone (605) 229-1367

310 S Pennsylvania St
Aberdeen, SD 57401
Phone (605) 229-1367

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Interoperability endpoints

  • Direct secure messaging: christopher.larson@avera.sdhealthlink.net

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1295990141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S PENN ST",
            "address_2": "SUITE 201",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-229-1367",
            "fax_number": "605-229-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST",
            "address_2": "SUITE 201",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-229-1367",
            "fax_number": "605-229-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.