Paul William Larson, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

00774 Issued in AZ

Practice address

2603 S 4TH Ave
Yuma, AZ 85364-7256

Phone

(928) 726-8346

Fax

(888) 418-8515

NPI assigned

May 5, 2009

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Anesthesiology

Education

Loma Linda University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vein Center of Arizona

  • Phlebology Physician
  • Yuma, AZ
  • NPI 1073929121
  Medicare reassignment NPD Authorized official
• Cardiojost, PLLC

  dba Southwest Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1023122843
  NPD (past)

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

• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1598999609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647256",
            "telephone_number": "928-726-8346",
            "fax_number": "888-418-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647256",
            "telephone_number": "928-726-8346",
            "fax_number": "888-418-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "41014",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AZ",
            "license": "00774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle Landin, COTA/L
• Luc Lanteigne, MD
• Lara and Associates PLLC Counseling
• Brenda Lara
• Claudia Maria Lara, LAMFT
• Nicole Ashley Lasley
• Latibule Counseling, PLLC
• Augustine W Lau, M.D.
• Gregory Wei-Yip Lau, MD
• Michael Lau, PAC

• Phlebology Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Phlebology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.
• 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.

Verify at the official NPI Registry.