Eric W. Larson, M.D., PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

28533 Issued in MN

Legal business name

ERIC W. LARSON, M.D., PLLC

Practice address

6525 Drew Ave S
Edina, MN 55435-2103

Phone

(952) 920-6748

Fax

(952) 920-3863

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bev Krieg

Title

Office Manager

Phone

(952) 920-6825

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eric W. Larson, MD Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric W Larson, MD

  • Psychiatry Physician
  • Edina, MN
  • NPI 1154414050
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649391772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 DREW AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352103",
            "telephone_number": "952-920-6748",
            "fax_number": "952-920-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 DREW AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352103",
            "telephone_number": "952-920-6748",
            "fax_number": "952-920-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC W. LARSON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIEG",
        "authorized_official_first_name": "BEV",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "952-920-6825",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "28533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "131L0LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "172494",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric W. Larson, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Esther Chinedu Enu-Adediran, M.D.
• Harriet L Enubuzor, MD
• Equilibrium LLC
• Equilibrium Wellness Center, LLC
• Eric Richard Nelson MD (Minnesota Ophthalmic Plastic Surgery Specialists)
• Brooke Erickson, MD
• Emma Erickson, PHD
• Lance Matthew Erickson, DC
• Pamela Ruth Erickson, DDS
• Paul A Erickson, MD

• Psychiatry Physician in Edina, MN
• Providers in Edina, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.