JEANNIE T. LARSON MD – NPI #1164406369
Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
JEANNIE LARSON is a dermatologist located in MAPLE GROVE, MN. NPPES has assigned the NPI number 1164406369 to JEANNIE LARSON on December 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery
The NPI profile was previously updated about 6 years ago on Aug 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEANNIE LARSON below.
NPI Profile for
JEANNIE T. LARSON
(more than 20 years ago)
MAPLE GROVE, MN 55369 Phone: (952) 993-3260 Fax:
P.O. BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS, MN 55425-4516 Phone: (952) 993-3260 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207ND0101X - Dermatology / MOHS-Micrographic Surgery (Primary) |
MN | 33568 |
| 207N00000X - Dermatology |
MN | 33568 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JEANNIE LARSON is affiliated with the following medical group(s):
- HOSPITAL
- PARK NICOLLET METHODIST HOSPITAL6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55426
- PARK NICOLLET METHODIST HOSPITAL6500 EXCELSIOR BLVD
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