Active NPI
Eric M Larsen, DPM
- Podiatrist
- Creston, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 99537
- Practice address
- 1610 W Townline St
Creston, IA 50801-1066 - Phone
- (641) 782-3887
- Fax
- (641) 782-6425
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3759 | FL | |
| Podiatrist | 213E00000X | 99537 | IA | Primary |
Addresses
Primary practice location
1610 W Townline St
Creston, IA 50801-1066
Mailing address
1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200416000759 | IA | Practitioner - Podiatry | 5193949584 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Regional Medical Center
Practice addresses (Care Compare)
1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091
Hospital & facility affiliations
- Greater Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99537 | IA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Greater Regional Medical Center | Current | Accepting new patients | |
| Greater Regional Medical Center | Current | Accepting new patients |
Locations
1610 W Townline St
Ste 140
Creston, IA 50801
Phone (641) 782-3887
1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091
1610 W Townline St
Creston, IA 50801
Phone (641) 782-2131
Interoperability endpoints
- elarsen733933@direct.unitypoint.org
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Corning, IA
- NPI 1275048977
-
- Rural Health Clinic/Center
- Lenox, IA
- NPI 1346353323
-
- Medicare Defined Swing Bed Hospital Unit
- Creston, IA
- NPI 1639180748
-
- Rural Health Clinic/Center
- Mount Ayr, IA
- NPI 1639684335
-
- Rural Health Clinic/Center
- Greenfield, IA
- NPI 1194406223
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1912293135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W TOWNLINE ST",
"city": "CRESTON",
"state": "IA",
"postal_code": "508011054",
"telephone_number": "641-782-7091",
"fax_number": "641-782-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 W TOWNLINE ST",
"city": "CRESTON",
"state": "IA",
"postal_code": "508011066",
"telephone_number": "641-782-3887",
"fax_number": "641-782-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ERIC",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3759",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "99537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.