Jeffrey a Larsen MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30866 Issued in TN

Legal business name

JEFFREY A LARSEN MD PLLC

Practice address

300 Stonecrest Blvd
Suite 360
Smyrna, TN 37167-6818

Phone

(615) 223-9935

Fax

(615) 768-7871

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

Dr. Jeffrey Arthur Larsen, MD

Title

Owner

Phone

(615) 223-9935

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeffrey A Larsen MD Doing business as

Locations

Practitioners 3

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

• Willie Melvin, MD

  • Surgery Physician
  • Smyrna, TN
  • NPI 1487741583

  Surgery

  NPD (past)
• Joshua Tray Taylor, MD

  • Surgery Physician
  • Smyrna, TN
  • NPI 1114164787

  Surgery

  NPD (past)
• Todd Henry Wilkens, M.D.

  • Vascular Surgery Physician
  • Smyrna, TN
  • NPI 1356434856

  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": "1191196800000",
    "number": "1508930249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 360",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676818",
            "telephone_number": "615-223-9935",
            "fax_number": "615-768-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 360",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676818",
            "telephone_number": "615-223-9935",
            "fax_number": "615-768-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A LARSEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-223-9935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "30866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3836764",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey A Larsen MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine James
• Paris Lemar Jarman, DDS
• Katherine Jordan Jeffcoat
• Jefferson Cosmetic Surgery Clinic, PLLC
• Alisha Jefferson, M.D.
• Ashley Jenkins
• John M. Byrnes, MD
• Cyrah Johnson
• Derek K. Johnson, M.D.
• Grant Johnson, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.