Active NPI
Peter Astrup Larsen, M.D.
- Ophthalmology Physician
- Newcastle, WY
National Provider Identifier
1801030234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2699A
- Practice address
- 808 Oil Creek Road
Box 428
Newcastle, WY 82701-0428 - Phone
- (307) 746-2125
- NPI assigned
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 22033 | MN | |
| Ophthalmology Physician | 207W00000X | 2699A | WY | Primary |
Addresses
Primary practice location
808 Oil Creek Road
Box 428
Newcastle, WY 82701-0428
Mailing address
808 Oil Creek Road
Box 428
Newcastle, WY 82701-0428
Phone (307) 746-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22033 | MN | MD | Clinical Social Worker |
| 2699A | WY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1801030234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 OIL CREEK ROAD",
"address_2": "BOX 428",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827010428",
"telephone_number": "307-746-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 OIL CREEK ROAD",
"address_2": "BOX 428",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827010428",
"telephone_number": "307-746-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "PETER",
"middle_name": "ASTRUP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "22033",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WY",
"license": "2699A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newcastle, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.