Eric Mowatt-Larssen, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

C55209 Issued in CA

Practice address

977 Pacific St Ste B
Monterey, CA 93940-4400

Phone

(831) 646-8346

Fax

(831) 646-8346

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16609/brand/1/csg/1/fhir/r4

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.

• Eric Mowatt-Larssen, MD, Inc

  • Phlebology Physician
  • Monterey, CA
  • NPI 1982955399
  Medicare reassignment NPD Authorized official
• Eml Medical PLC

  • General Practice Physician
  • Culpeper, VA
  • NPI 1396841177
  NPD (past)
• Ridgeline Physician Services, PLC

  • Family Medicine Physician
  • Culpeper, VA
  • NPI 1952627119
  NPD (past)
• Skyline Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Culpeper, VA
  • NPI 1669428033
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1487699013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 PACIFIC ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404400",
            "telephone_number": "831-646-8346",
            "fax_number": "831-646-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 PACIFIC ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404400",
            "telephone_number": "831-646-8346",
            "fax_number": "831-646-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWATT-LARSSEN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101230922",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "C55209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "235963",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5861047",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910835",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930107776",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Morrow, MD
• David Thomas Morwood, M.D.
• Brennan Mosch, M.D.
• Venice Moses, CMT
• Chelsea Moss, PHD
• Christina M Moyano, MHS
• Kelly M Mudlo
• Roman Mueller, DPT
• Tarin Della Muir-Davis, LMFT
• Thomas Muir, LCSW

• Phlebology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Phlebology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.