| Dr Matthew Daniel Larson, MD | |
|
201 W 69th St, Sioux Falls, SD 57108-2403 | |
| (605) 336-0635 | |
| Not Available |
| Full Name | Dr Matthew Daniel Larson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 201 W 69th St, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346703634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 77624 (Minnesota) | Primary |
| Entity Name | Urology Specialists Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881647246 PECOS PAC ID: 9234031329 Enrollment ID: O20040121000003 |
| Entity Name | Madison Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20040423000982 |
| Entity Name | Madison Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20101012001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Daniel Larson, MD 7107 Harrison St, Kansas City, MO 64131-1607 Ph: (605) 321-6428 | Dr Matthew Daniel Larson, MD 201 W 69th St, Sioux Falls, SD 57108-2403 Ph: (605) 336-0635 |
Darlys R Hofer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-336-7182 | |
Alex James Hannemann, MD Urology Medicare: Medicare Enrolled Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 | |
Dr. Dennis Thum, Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Eugene S Park, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th Street, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Dr. Nathan Andrew Bockholt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Robert C Johnson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105 Phone: 605-336-0635 Fax: 605-336-7182 |