Daniel J. Larose, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

26497 Issued in IA

Practice address

1 Edmundson Place
Suite 500
Council Bluffs, IA 51503-4619

Phone

(712) 323-5333

Fax

(712) 323-3252

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlarose129318@uihcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miller Orthopaedic Affiliates PC

  • Orthopaedic Surgery Physician
  • Council Bluffs, IA
  • NPI 1659379519

  NE

  Medicare reassignment NPD Authorized official
• Clarinda Regional Health Center

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241
  Medicare reassignment NPD
• Shelby County Chris a. Myrtue Memorial Hospital

  • Family Medicine Physician
  • Harlan, IA
  • NPI 1922184175
  Medicare reassignment NPD
• Miller Orthopaedic Affiliates PC

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1982097804
  NPD Authorized official
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Advanced Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1053366930
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1730187410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PLACE",
            "address_2": "SUITE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-323-5333",
            "fax_number": "712-323-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PLACE",
            "address_2": "SUITE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-323-5333",
            "fax_number": "712-323-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "26497",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "19436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200015383",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "26287",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Jo Lanegan, APRN
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• Cynthia Faye Larison, R.N.
• Amber Dawn Larsen
• Gary Young Larsen, PH.D.
• Katelyn Elizabeth Larsen, PA-C
• Renae Carrie Larsen, LMHC, LIMHP
• Deanna J Larson, M.D.

• Orthopaedic Surgery Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.