Ellen M Larson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

217285 Issued in NY

Practice address

140 Broad St
Hamilton, NY 13346-9575

Phone

(315) 228-7750

Fax

(315) 228-6823

NPI assigned

May 15, 2006

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elarson@hiemail.healtheconnections.org

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Waterville, NY
  • NPI 1477080604

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Hamilton, NY
  • NPI 1609303692

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Morrisville, NY
  • NPI 1902333149

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Corporate Director

  CMS ownership

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.

• Mary Imogene Bassett Hospital

  dba Bassett Medical Center

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment NPD
• Colgate University

  • Student Health Clinic/Center
  • Hamilton, NY
  • NPI 1881091726
  NPD Authorized official
• Mary Imogene Bassett Hospital

  dba FoxCare Pharmacy

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629029442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133260725",
            "telephone_number": "315-825-3111",
            "fax_number": "315-825-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469575",
            "telephone_number": "315-228-7750",
            "fax_number": "315-228-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "217285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02194558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Spencer Kruger, M. D.
• Dawn E Lafrance, PSY.D.
• Russell Matthew Lafrance, M.D.
• Caitlin Ann Lamison-Myers, PT, DPT
• April Lamunion
• Carol Michele Lear, PSYD
• Monique Lynette Lewis, LPC-S, LMHC
• Pamela Bury Lewis, PA
• William I Lin, MD
• Sherri Lynn Loucks, NP-C

• Family Medicine Physician in Hamilton, NY
• Providers in Hamilton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.