| Dr Ryan H Larsen, MD | |
|
258 S Main St Ste 210, Logan, UT 84321-5768 | |
| (435) 383-6120 | |
| (435) 557-8003 |
| Full Name | Dr Ryan H Larsen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 41 Years |
| Location | 258 S Main St Ste 210, Logan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235224932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 175141-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Mission At Maple Springs | Brigham, UT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlas Medical Utah Llc | 4981937034 | 7 |
| Entity Name | Atlas Medical Utah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568928133 PECOS PAC ID: 4981937034 Enrollment ID: O20190605001965 |
| Entity Name | Sound Physicians Of Wyoming, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20240311002432 |
| Entity Name | Atlas Medical Aco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790513109 PECOS PAC ID: 1456885227 Enrollment ID: O20241115002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan H Larsen, MD 258 S Main St Ste 210, Logan, UT 84321-5768 Ph: (435) 383-6120 | Dr Ryan H Larsen, MD 258 S Main St Ste 210, Logan, UT 84321-5768 Ph: (435) 383-6120 |
Dr. Troy M Schwartz, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N, Logan, UT 84341 Phone: 801-387-7150 | |
Justen Watkins, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 41 E 400 N # 332, Logan, UT 84321 Phone: 435-640-6290 |