KEITH D LARSON MD
NPI 1639138431
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Saint Cloud, MN
NPI Status: Active since March 21, 2006
Contact Information
1511 NORTHWAY DR
SUITE 202
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 217-8880
Fax: (320) 253-1822
- Individual
- Male
- Psychiatry & Neurology
- Neurology with Special Qualifications in...
About KEITH LARSON
This page provides the complete NPI Profile along with additional information for Keith Larson, a provider established in Saint Cloud, Minnesota with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1639138431 assigned on March 2006. The practitioner's primary taxonomy code is 2084N0402X with license number 22693 (MN). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1639138431
- Provider Name
- KEITH D LARSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1511 NORTHWAY DR SUITE 202 SAINT CLOUD, MN 56303
- Location Phone
- (320) 217-8880
- Location Fax
- (320) 253-1822
- Mailing Address
- 1511 NORTHWAY DR SUITE 202 SAINT CLOUD, MN 56303
- Mailing Phone
- (320) 217-8880
- Mailing Fax
- (320) 253-1822
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-21-2006
- Last Update Date
- 09-01-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
- Taxonomy Code
- 2084N0402X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22693
- License State
- MN
- Taxonomy Description
- A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130000657 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| D80168 | MEDICARE UPIN (02) | ||
| 313593400 | MEDICAID (05) | MN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 3 | 8 | 4 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 16 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 1 + 6 + 4 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1639138431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
DR. DENNIS LEE NIERENGARTEN D.D.S.
Dentist
(General Practice)
1511 NORTHWAY DR
SUITE 102
SAINT CLOUD, MN
ZIP 56303
DR. MOHAMED SATTI YASSIN M.D.
Specialist
1511 NORTHWAY DR
SUITE 101
SAINT CLOUD, MN
ZIP 56303
DR. MARC DANA ORJANSEN DDS, MS
Dentist
(Periodontics)
1511 NORTHWAY DR
SUITE 202
SAINT CLOUD, MN
ZIP 56303
KEITH LARSON NEUROLOGY PLLC
Clinic/Center
1511 NORTHWAY DR
SUITE 202
SAINT CLOUD, MN
ZIP 56303
JULIE M JOHNSON MD
Family Medicine
1511 NORTHWAY DR
STE 103
SAINT CLOUD, MN
ZIP 56303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639138431, enumerated as an "individual" on March 21, 2006.
The provider is located at 1511 NORTHWAY DR SUITE 202 SAINT CLOUD, MN 56303 and the phone number is (320) 217-8880.
Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
