Wilhelm C J Larsen MD PA

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

ME0027507 Issued in FL

Legal business name

WILHELM C J LARSEN MD PA

Practice address

351 Potter Rd
West Palm Beach, FL 33405-3621

Phone

(561) 707-4161

Fax

(561) 908-2604

NPI assigned

Sep 19, 2014

Last updated

Apr 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wilhelm Charles Joseph Larsen, MD

Title

Owner, President

Phone

(561) 707-4161

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1881096071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220688",
            "address_2": "3900 HARVERHILL ROAD NORTH",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334220688",
            "telephone_number": "561-707-4161",
            "fax_number": "561-791-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 POTTER RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053621",
            "telephone_number": "561-707-4161",
            "fax_number": "561-908-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILHELM C J LARSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "WILHELM",
        "authorized_official_middle_name": "CHARLES JOSEPH",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "561-707-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME0027507",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "ME0027507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447382",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wilber, PT, DPT
• Zachary Taggart Wilber, DPT
• Margaret Wilcox
• Rebecca Wilcox, PA-C
• Kathryn V Wilder, AU.D.
• Karen Wilkerson
• Sheriffa Antonette Wilkins, M.S., B.A.
• Katelyn A Willbur, RD/N, LD/N
• Donna Williams Welch, MS
• Magalie Williams-Joachim

• General Acute Care Hospital in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.