Active NPI
Eric J Larson, MD
- Emergency Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20506
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-0001 - Phone
- (843) 792-1414
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20506 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-0001
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T45582 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 537-7881
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Emergency Medicine | Current | Accepting new patients |
| McLeod Health Cheraw | Emergency Medicine | Current | Accepting new patients |
| Scmwc Inc | Current | Accepting new patients | |
| Woundwise Solutions LLC | Emergency Medicine | Current | Accepting new patients |
| Bradley B Bailey MD and Roger B Schechter MD Inc | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| SC Wound Solutions LLC | Past | Accepting new patients | |
| Serio South Carolina, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1117 48th Ave N
Ste 124
Myrtle Beach, SC 29577
Phone (619) 289-9356
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
Interoperability endpoints
- elarson25317@directmcleodehealth.org
Organizations & group practices 12
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.
-
dba McLeod Health Cheraw Physicians
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
Emergency Medicine
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Awendaw, SC
- NPI 1427815984
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba McLeod Family Medicine - Darlington
- Rural Health Clinic/Center
- Darlington, SC
- NPI 1003410903
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Myrtle Beach, SC
- NPI 1356187132
-
dba MUSC Physicians
- Anesthesiology Physician
- Charleston, SC
- NPI 1104843713
Emergency Medicine
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
dba Restorative Wound Healing and Hyperbaric Medical Group
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- San Diego, CA
- NPI 1831349315
-
- Surgery Physician
- Awendaw, SC
- NPI 1639033780
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1699006593
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- General Acute Care Hospital
- Cheraw, SC
- NPI 1902283740
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366550220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294250001",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ERIC",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "20506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T45582",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.