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JEREMY TODD LARSON MD
NPI 1548366891
Family Medicine in Kodiak, AK

Active since September 15, 2006
1818 E REZANOF DR, KODIAK, AK 99615(907) 486-6065(907) 486-2248 Get Directions Write a Review

NPPES record last updated: October 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Todd Larson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY TODD LARSON MD (NPI 1548366891) is an individual family medicine provider in Kodiak, Alaska, licensed in Alaska (4934) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1548366891
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEREMY TODD LARSONCredential: MD
Location Address1818 E REZANOF DRKodiak, AK 99615
Mailing Address1818 E Rezanof DrKodiak, AK 99615 · (907) 486-6065 · Fax (907) 486-2248
Phone(907) 486-6065
Fax(907) 486-2248
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 4, 2009
✔ NPI 1548366891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AK · 4934✔ Licensed in WA · 44523
Definition
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.
1818 E REZANOF DR, Kodiak, AK 99615
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Other Identifiers 2

Medicare UPINH66470
Medicaid8419657WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORI D TAYLOR
Peer Specialist
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
ZARIA R GENTLE LMSW
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
VERONICA ANGELICA SAMANIEGO LPC
Counselor (Professional)
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
RAE JEAN BLASCHKA NP
Nurse Practitioner
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-6065
CAROL JUERGENS MD
Internal Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-6065
PORSCHIA COLEMAN
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2400
STEPHEN SPENCER BURNSIDE MD
Internal Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-6065
KENNETH MCENTEE
Case Manager/Care Coordinator
1818 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (815) 412-5476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Larson's NPI number?

The NPI number for Jeremy Larson is 1548366891. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Jeremy Larson located?

Jeremy Larson practices at 1818 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-6065.

What is Jeremy Larson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Larson was last updated on October 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.