| John A Larsen, MD | |
|
11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | |
| (253) 985-6403 | |
| (253) 985-2948 |
| Full Name | John A Larsen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 11315 Bridgeport Way Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932128576 | NPI | - | NPPES |
| 1120435 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD00043782 (Washington) | Primary |
| Entity Name | Oregon Anesthesiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20231116003035 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Larsen, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 985-6403 | John A Larsen, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 985-6403 |
Dr. Michael Thomas Ingoglia, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-985-6403 Fax: 253-985-2948 | |
Joann Alexanian, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11315 Bridgeport Way Sw, St Clare Hospital, Lakewood, WA 98499 Phone: 253-581-6403 Fax: 253-584-6544 | |
Dr. Carlo Claudio Manetti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13 Ponce De Leon Ter Sw, Lakewood, WA 98499 Phone: 253-584-1826 | |
Robert Mason, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-984-6403 Fax: 253-985-2948 | |
Dr. Todd Donato, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-985-6403 Fax: 253-985-2948 | |
Dr. Adam Richard Olsson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499 Phone: 253-985-2949 Fax: 253-274-7994 | |
Kyong Ho Kim, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499 Phone: 253-983-9390 Fax: 253-983-0066 |