JON D. LARSON MD – NPI #1508884172
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JON LARSON is a physician located in DETROIT LAKES, MN. NPPES has assigned the NPI number 1508884172 to JON LARSON on July 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 21, 2025. 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 JON LARSON below.

NPI Profile for
JON D. LARSON

NPI Number
1508884172
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JON D. LARSON
Credentials
MD
Primary location
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501-3905
Phone: (218) 846-2000 Fax: (218) 846-2114
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 21, 2025

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.

Taxonomy Code(s)

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
207Q00000X
- Family Medicine (Primary)		 MN 45023

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1245 WASHINGTON AVE,
DETROIT LAKES, MN 77025-1669

Additional Information

Education
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE - Graduated 1991
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JON LARSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH ST MARYS - DETROIT LAKES
      1027 WASHINGTON AVE
      DETROIT LAKES, MN 56501
    • MAHNOMEN HEALTH CENTER
      414 W JEFFERSON PO BOX 396
      MAHNOMEN, MN 56557
    • PERHAM HEALTH
      1000 CONEY STREET WEST
      PERHAM, MN 56573
    • SANFORD MEDICAL CENTER FARGO
      801 BROADWAY NORTH
      FARGO, ND 58122
  • HOSPICE
    • HOSPICE OF RED RIVER VALLEY
      1701 38TH ST S STE 101
      FARGO, ND 58103

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.