| James Christen Larsen Iii, MD | |
|
77 W Forest Ave Ste 101, Flagstaff, AZ 86001-1482 | |
| (928) 773-2515 | |
| Not Available |
| Full Name | James Christen Larsen Iii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 77 W Forest Ave Ste 101, Flagstaff, Arizona |
| 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 |
|---|---|---|---|
| 1366767352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101270310 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 51860 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Greeneville Community Hospital | Greeneville, TN | Hospital |
| Russell County Hospital | Lebanon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20200513001006 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Entity Name | Blue Ridge Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20220321000732 |
| Mailing Address | Practice Location Address |
|---|---|
| James Christen Larsen Iii, MD 2616 W Kiltie Ln, Flagstaff, AZ 86005-9109 Ph: (775) 560-5375 | James Christen Larsen Iii, MD 77 W Forest Ave Ste 101, Flagstaff, AZ 86001-1482 Ph: (928) 773-2515 |
Paul Hiette, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 | |
Dr. Andrew David, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1329 N Beaver St Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2260 Fax: 928-773-2402 | |
Leslie N. Nishimi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 | |
Stephanie Renee Rice, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1329 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2261 | |
Michael J. Labenz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2215 Fax: 928-773-2240 | |
Stephen V. Ward, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 |