JOHN R. LARSON MD – NPI #1104864354
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

JOHN LARSON is a physician located in BATESVILLE, AR. NPPES has assigned the NPI number 1104864354 to JOHN LARSON on June 02, 2006. 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 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 2 years ago on May 14, 2024. 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 JOHN LARSON below.

NPI Profile for
JOHN R. LARSON

NPI Number
1104864354
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN R. LARSON
Credentials
MD
Primary location
1215 SIDNEY ST
SUITE 203
BATESVILLE, AR 72501-7203
Phone: (870) 262-6155 Fax: (870) 262-6152
Mailing address
PO BOX 2197
BATESVILLE, AR 72503-2197
Phone: (870) 262-6155 Fax: (870) 262-6152
Sole Proprietor
No
Updated
Certification Date
May 14, 2024

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.

Identifiers

Identifiers for JOHN LARSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDAR51281
otherMEDICAREAR264659YMPR
otherSTATE LICENSEARE-7818
medicaidAR195965001
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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
AR E7818
207LP2900X
- Anesthesiology / Pain Medicine
AR E7818
207L00000X
- Anesthesiology
AR E-7818

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

Education
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY - Graduated 1985
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
JOHN LARSON is affiliated with the following medical group(s):
  • HOSPITAL
    • WHITE RIVER MEDICAL CENTER
      1710 HARRISON STREET
      BATESVILLE, AR 72503

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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.