ANDREW STUART LARSON DO
NPI 1700635109
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since May 16, 2024PECOS Enrolled
819 S 13TH ST, MOUNT VERNON, WA 98274(636) 489-9713 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Stuart Larson Do NPPES

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

ANDREW STUART LARSON DO (NPI 1700635109) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700635109
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW STUART LARSONCredential: DO
Location Address819 S 13TH STMount Vernon, WA 98274-4112
Mailing Address6890 S Maverick CirCottonwood Heights, UT 84121-3302 · (636) 489-9713
Sole ProprietorNo
Enumeration DateMay 16, 2024
NPPES CertifiedMay 14, 2024
NPI 1700635109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

819 S 13TH ST, Mount Vernon, WA 98274

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew Stuart Larson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

Family Medicine
819 S 13TH ST, SRC RESIDENCY CLINIC
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST, CLINIC
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700635109, enumerated as an "individual" on May 16, 2024.

The provider is located at 819 S 13TH ST MOUNT VERNON, WA 98274 and the phone number is (636) 489-9713.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.