Larry Dean Wadell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33713 Issued in MN

Practice address

631 1St St SE
Faribault, MN 55021-6362

Phone

(507) 334-8333

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• NPI 1083910871

  • NPI 1083910871

  Family Medicine

  NPD (past)
• Allina Health System

  dba Abbott Northwestern Hospital

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1760446256
  NPD (past)
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD (past)
• St. Francis Medical Center

  • Critical Access Hospital
  • Breckenridge, MN
  • NPI 1891954574
  NPD (past)
• St Francis Medical Center

  dba Chi St Francis Health

  • Rural Health Clinic/Center
  • Milnor, ND
  • NPI 1235215252
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629174503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 MARINER DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112615",
            "telephone_number": "763-494-9397",
            "fax_number": "763-494-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 1ST ST SE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216362",
            "telephone_number": "507-334-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADELL",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Vold
• Amanda Volden, PHARMD
• Mary C Vonhof
• David Steven Vuicich, CRNA
• Ngoc Vuong, PHARM.D
• George M Wagner, MD
• Wal Mart Stores, Inc. (Vision Center 30-1657)
• Walgreen Co (Walgreens #01951)
• Walmart Inc. (Walmart Pharmacy 10-1657)
• Brian Igoni Wariboko, M.D

• Family Medicine Physician in Faribault, MN
• Providers in Faribault, MN by specialty
• Family Medicine Physician in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.