Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043379829 Individual Practitioner Male Practitioner

Kenneth B Larson , PA

Physician Assistant • Safford, AZ

Professional Overview & Biography Verified Profile Summary

Kenneth Larson, PA is a registered healthcare professional specializing in Physician Assistant in Safford, AZ. Practice services are available at 1600 S 20TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 S 20th Ave

Safford, AZ 855464011

Telephone 9283484021
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Safford, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Safford, AZ (3711 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 1090

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
184841 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Jason Underwood

Nurse Anesthetist, Certified Registered

NPI 1114952926
Dr. Clayton Hargis , DO

Emergency Medicine - Emergency Medical Services

NPI 1346261807

Doctor of Osteopathic Medicine (D.O.)

Cecil Evans , CRNA

Nurse Anesthetist, Certified Registered

NPI 1871515155

Certified Registered Nurse Anesthetist

Dr. Linda Miller , DO

Emergency Medicine - Emergency Medical Services

NPI 1881615342

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 21, 2017

Registered at 2250 W 16TH ST, SAFFORD, AZ 855464081 (Tel: 9284281947)

📍
Updated Practice Location February 21, 2017

Registered at 1600 S 20TH AVE, SAFFORD, AZ 855464011 (Tel: 9283484021)

👤
Provider Name / Credentials Updated February 21, 2017

Recorded as KENNETH LARSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Physician Assistant (License #1090 in AZ)

NPI Profile Active March 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2016

Registered at 1600 S 20TH AVE, SAFFORD, AZ 855464011 (Tel: 9283484021)

📍
Updated Business Mailing Address March 04, 2016

Registered at 3860 W LAYTON ST, THATCHER, AZ 855525248 (Tel: 9284281947)

👤
Provider Name / Credentials Updated March 04, 2016

Recorded as KENNETH LARSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2016

Physician Assistant (License #1090 in AZ)

🟢
Initial NPI Registration & Enumeration December 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043379829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: February 21, 2017
Sole Proprietor: No

Mailing Address

2250 W 16th St

Safford, AZ 855464081

Phone: 9284281947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.