| Mr Keith William Larson, CRNA | |
|
3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | |
| (763) 581-3980 | |
| (763) 581-3591 |
| Full Name | Mr Keith William Larson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota |
| 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 |
|---|---|---|---|
| 1851353320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1049989 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Twin Cities Anesthesia Pa | 2466704887 | 5 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Anesthesiology, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459 |
| Entity Name | Hennepin Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
| Entity Name | Certified Anesthesia Care Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
| Entity Name | Twin Cities Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962981415 PECOS PAC ID: 2466704887 Enrollment ID: O20181015000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith William Larson, CRNA 1529 Ivory Ct, Lake Elmo, MN 55042-9311 Ph: (651) 646-3091 | Mr Keith William Larson, CRNA 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 581-3980 |
Tana Isaacson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Dana Lee Chippendale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 | |
Jonghwa Park, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-3980 Fax: 763-581-3591 | |
Katherine Piehl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 Fax: 763-257-8356 | |
Carolyn Olson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Jeffrey Middendorf, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Brian Geniesse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 |