| Martin Gordon Larsen, DO | |
|
1380 E Medical Center Dr, St George, UT 84790-2123 | |
| (435) 251-1000 | |
| Not Available |
| Full Name | Martin Gordon Larsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 1380 E Medical Center Dr, St George, 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 |
|---|---|---|---|
| 1043897259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 13509554-1204 (Utah) | Primary |
| 207P00000X | Emergency Medicine | DO3491 (Nevada) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar City Hospital | Cedar city, UT | Hospital |
| William Bee Ririe Hospital | Ely, NV | Hospital |
| Kane County Hospital | Kanab, UT | Hospital |
| Dixie Regional Medical Center | St george, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Kane County Human Resource Special Service District | 5092603316 | 29 |
| Fremont Emergency Services Scherr Ltd | 4880684554 | 122 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Kane County Human Resource Special Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043380991 PECOS PAC ID: 5092603316 Enrollment ID: O20040309000209 |
| Entity Name | Kane County Human Resource Special Service District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1215001037 PECOS PAC ID: 5092603316 Enrollment ID: O20090727000130 |
| Entity Name | West Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548929565 PECOS PAC ID: 1850785296 Enrollment ID: O20220228002097 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Gordon Larsen, DO 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: () - | Martin Gordon Larsen, DO 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-1000 |
Brett David Christiansen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-5514 | |
Evan Nelson Strobelt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 | |
Dr. Robert D Owen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-4002 | |
Richard A. Sorensen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1002 | |
Dr. Kevin Val Jensen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr Ste J201, St George, UT 84790 Phone: 435-986-9483 Fax: 435-674-2997 | |
Nathan Laurel Holman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-688-6388 |