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Deactivated NPI 1760536445 Deactivated / Inactive NPI Male Practitioner

Dr. Jon Luthuli Larson , MD

Surgery • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jon Larson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date March 03, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Larson, MD was a registered Surgery practicing in Minneapolis, MN. Throughout an active medical career spanning 15 years, Dr. Larson provided care at the practice location at 420 DELAWARE ST SE until profile deactivation on 2022-03-03.

Practice Location & Contact Primary Location

Practice Address

420 Delaware St Se
Mmc 293

Minneapolis, MN 554550341

Telephone 6126257634
Associated Practice Facility / Clinic
🏢 University Of Minnesota Facility NPI 1730371857

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
99 Specialists

Practicing in Minneapolis, MN (770 Statewide)

Telehealth Adoption Rate
10.1% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 19774

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Sameer Gadani , MD

Radiology - Vascular & Interventional Radiology

NPI 1013110477

Doctor of Medicine (M.D.)

Dr. Angela Smith , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1043365984

Doctor of Medicine (M.D.)

Dr. Jianling Yuan , MD

Radiology - Radiation Oncology

NPI 1063556520

Doctor of Medicine (M.D.)

Dr. Rebecca Mitchard , MD

Student in an Organized Health Care Education/Training Program

NPI 1083931943

Doctor of Medicine (M.D.)

NPI 1104962851

Doctor of Medicine (M.D.)

Dr. Craig Grimes , MD

Radiology - Diagnostic Radiology

NPI 1134262751

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 03, 2022

Record deactivated on March 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 420 DELAWARE ST SE, MMC 293, MINNEAPOLIS, MN 554550341 (Tel: 6126257634)

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Updated Business Mailing Address July 08, 2007

Registered at 508 RIDGEWOOD AVE APT 6, MINNEAPOLIS, MN 554033579

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Provider Name / Credentials Updated July 08, 2007

Recorded as JON LARSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #19774 in MN)

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Initial NPI Registration & Enumeration January 22, 2007

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: 1760536445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: March 03, 2022

Mailing Address

508 Ridgewood Ave Apt 6

Minneapolis, MN 554033579

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

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