Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649247859 Individual Practitioner Male Practitioner

Dr. Wade M. Larson , MD

Pediatrics • Rogers, MN

Professional Overview & Biography Verified Profile Summary

Dr. Wade Larson, MD is a registered healthcare professional specializing in Pediatrics in Rogers, MN. Practice services are available at 13980 NORTHDALE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13980 Northdale Blvd

Rogers, MN 553742147

Telephone 7634281920
Fax 7634283162

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Rogers, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Rogers, MN (1325 Statewide)

Telehealth Adoption Rate
28.6% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 40046

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
255439900 (MN)

Practice Associates & Co-Workers

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

7 Associated Practitioners
William Kunau , PNP

Nurse Practitioner - Pediatrics

NPI 1063481513

Pediatric Nurse Practitioner

NPI 1376805770

Doctor of Medicine (M.D.)

Katherine Wahl

Nurse Practitioner - Pediatrics

NPI 1609384973
NPI 1629046412

Doctor of Medicine (M.D.)

NPI 1700853397

Doctor of Medicine (M.D.)

NPI 1760459259

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2011

Registered at 13980 NORTHDALE BLVD, ROGERS, MN 553742147 (Tel: 7634281920)

📍
Updated Business Mailing Address September 22, 2011

Registered at 13980 NORTHDALE BLVD, ROGERS, MN 553742147 (Tel: 7634281920)

👤
Provider Name / Credentials Updated September 22, 2011

Recorded as WADE LARSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2011

Pediatrics (License #40046 in MN)

🟢
Initial NPI Registration & Enumeration March 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: 1649247859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2006
Last Update: September 22, 2011
Sole Proprietor: No

Mailing Address

13980 Northdale Blvd

Rogers, MN 553742147

Phone: 7634281920

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.