Paul Larson OB GYN Clinic PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PAUL LARSON OB GYN CLINIC PA

Practice address

6525 France Ave S
Ste 100
Edina, MN 55435-3624

Phone

(952) 927-4021

Fax

(952) 285-6183

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martin L. Immerman, M.D.

Title

President

Phone

(952) 927-4021

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1770547317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S",
            "address_2": "STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352158",
            "telephone_number": "952-927-4021",
            "fax_number": "952-285-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S",
            "address_2": "STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353624",
            "telephone_number": "952-927-4021",
            "fax_number": "952-285-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL LARSON OB GYN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "IMMERMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-927-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geness Patpatia, M.D.
• David Flynn Patterson, M.D.
• David Ross Patterson, D.C.
• Jonathan Samuel Patterson
• Teresa Marie Pattison, APRN, CNP
• Paul S Stone DDS Keith E Johnson DDS and Associates PA
• Paul T Richardson MD LLC
• Paul T. Wicklund, M.D., P.a.
• Patricia A Paul, CRNA
• Nara Anne Paulsen, PA-C

• Obstetrics & Gynecology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Obstetrics & Gynecology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.