| Shane R Larson, MD | |
|
1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | |
| (520) 901-3500 | |
| Not Available |
| Full Name | Shane R Larson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 1551 E Tangerine Rd, Oro Valley, 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 |
|---|---|---|---|
| 1528018496 | NPI | - | NPPES |
| 870550181001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 342616-1205 (Utah) | Secondary |
| 207L00000X | Anesthesiology | 77353 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sartori Memorial Hospital, Inc | Cedar falls, IA | Hospital |
| Logan Regional Hospital | Logan, UT | Hospital |
| Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interwest Anesthesia Associates Llc | 0042293359 | 27 |
| Covenant Medical Center Inc | 0244148732 | 214 |
| Entity Name | Interwest Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841214483 PECOS PAC ID: 0042293359 Enrollment ID: O20040609000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane R Larson, MD 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 | Shane R Larson, MD 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 Ph: (520) 901-3500 |
Stephen Geddes Howell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Kyle Anderson Kelly, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Eric Scott Perry, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Roberto G Lo Greco, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7725 N Oracle Rd Ste 131, Oro Valley, AZ 85704 Phone: 520-544-2273 Fax: 524-544-4227 | |
Dr. Angela G. Laster, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Oro Valley, AZ 85755 Phone: 520-901-3500 | |
Sally J Vetter, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1551 E Tangerine Rd, Attn Medical Staff Services, Oro Valley, AZ 85755 Phone: 520-901-3559 Fax: 520-901-3642 | |
Dr. Samir Purusottam Patel, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12480 N Rancho Vistoso Blvd, Ste 180, Oro Valley, AZ 85755 Phone: 520-742-4008 |