Individual provider Active NPI

Barbara E Larson, M.D.

  • Anesthesiology Physician
  • South Bend, IN
National Provider Identifier
1316994858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01051945A Issued in IN
Practice address
801 E Lasalle Ave
Anesthesia Department
South Bend, IN 46617-2814
Phone
(574) 237-7111
NPI assigned
May 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01051945A IN Primary

Addresses

Primary practice location

801 E Lasalle Ave
Anesthesia Department
South Bend, IN 46617-2814

Mailing address

PO Box 1742
South Bend, IN 46634-1742
Phone (574) 233-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000576 IN Practitioner - Anesthesiology 7214032200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

53990 Carmichael Dr
South Bend, IN 46635-1582
Phone (574) 243-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051945AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Anesthesia, P.C. Anesthesiology CurrentSince Feb 1, 2007 Accepting new patients
Sunset Coast Anesthesia Associates PC Anesthesiology Past Accepting new patients
Surgery Center Anesthsia Anesthesiology Past Accepting new patients
St. Joseph Valley Anesthesia P.C. Anesthesiology Past Accepting new patients

Locations

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316994858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1742",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466341742",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E LASALLE AVE",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172814",
            "telephone_number": "574-237-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BARBARA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01051945A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.