SUSAN MANZ LARSON MD
NPI 1003806795
Physical Medicine & Rehabilitation in West Allis, WI
NPI Status: Active since October 25, 2005
Contact Information
2424 S 90TH ST
SUITE 500
WEST ALLIS, WI
ZIP 53227
Phone: (414) 328-8600
Fax: (414) 328-8686
- Individual
- Female
- Physical Medicine & Rehabilitation
- Accepts Insurance
About SUSAN LARSON
This page provides the complete NPI Profile along with additional information for Susan Larson, a provider established in West Allis, Wisconsin with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1003806795 assigned on October 2005. The practitioner's primary taxonomy code is 208100000X with license number 31194020 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1003806795
- Provider Name
- SUSAN MANZ LARSON MD
- Other Name
- SUSAN B MANZ MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2424 S 90TH ST SUITE 500 WEST ALLIS, WI 53227
- Location Phone
- (414) 328-8600
- Location Fax
- (414) 328-8686
- Mailing Address
- 19475 W NORTH AVE SUITE 201 BROOKFIELD, WI 53045
- Mailing Phone
- (262) 780-4400
- Mailing Fax
- (414) 328-8686
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2005
- Last Update Date
- 01-16-2008
- 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
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31194020
- License State
- WI
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
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 |
---|---|---|---|
CG1663 | MEDICARE PIN (08) | WI | |
31609800 | MEDICAID (05) | WI | |
D81648 | MEDICARE UPIN (02) | WI |
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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 | 0 | 0 | 3 | 8 | 0 | 6 | 7 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 16 | 0 | 12 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 1 + 6 + 0 + 1 + 2 + 7 + 1 + 8 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1003806795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1124013404 | DR. WALTER KHE TIAN WONG MD Individual | Psychiatry & Neurology (Neurology) | 2424 S 90TH ST SUITE 202 WEST ALLIS, WI 53227 (414) 328-7646 |
1922098714 | LEE M TYNE MD Individual | Orthopaedic Surgery | 2424 S 90TH ST SUITE 500 WEST ALLIS, WI 53227 (414) 328-8600 |
1194715995 | PATRICK W CUMMINGS MD Individual | Orthopaedic Surgery (Sports Medicine) | 2424 S 90TH ST SUITE 500 WEST ALLIS, WI 53227 (414) 328-8600 |
1255357554 | HARVEY F HEWES M.D. Individual | Internal Medicine | 2424 S 90TH ST SUITE 406 WEST ALLIS, WI 53227 (414) 328-8840 |
1184642670 | FERIDOUN BEROUKHIM M.D. Individual | Pediatrics | 2424 S 90TH ST STE 504 WEST ALLIS, WI 53227 (414) 328-8670 |
1134211642 | GENERAL & VASCULAR SURGEONS, S.C. Organization | Surgery (Vascular Surgery) | 2424 S 90TH ST STE 208 WEST ALLIS, WI 53227 (414) 328-8080 |
1497828339 | DR. WILLIAM BURNS M.D. Individual | Internal Medicine | 2424 S 90TH ST SUITE 506 WEST ALLIS, WI 53227 (414) 328-8680 |
1164589693 | CAROL ANN LIESENFELDER LCSW Individual | Social Worker | 2424 S 90TH ST SUITE #402 WEST ALLIS, WI 53227 (414) 328-8690 |
1215132055 | LAKESHORE MEDICAL CLINIC, LTD Organization | Durable Medical Equipment & Medical Supplies | 2424 S 90TH ST WEST ALLIS, WI 53227 (414) 328-8777 |
1518164359 | AURORA MEDICAL GROUP, INC. Organization | Durable Medical Equipment & Medical Supplies | 2424 S 90TH ST SUITE 310 WEST ALLIS, WI 53227 (414) 328-8700 |
1952585432 | SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C. Organization | Specialist | 2424 S 90TH ST SUITE 418 WEST ALLIS, WI 53227 (414) 328-7767 |
1154383909 | LANE A. KISTLER M.D. Individual | Internal Medicine (Gastroenterology) | 2424 S 90TH ST SUITE 306 WEST ALLIS, WI 53227 (414) 328-8750 |
1578999405 | KATHLEEN CONRAD RPH Individual | Pharmacist | 2424 S 90TH ST WEST ALLIS, WI 53227 (414) 546-9722 |
1376651455 | ANN K HILLMAN M.S.S.A., LCSW Individual | Social Worker (Clinical) | 2424 S 90TH ST SUITE 502 WEST ALLIS, WI 53227 (414) 329-5657 |
1538594585 | AURORA ADVANCED HEALTHCARE, INC. Organization | Durable Medical Equipment & Medical Supplies | 2424 S 90TH ST SUITE 500 WEST ALLIS, WI 53227 (414) 321-2255 |
1033449533 | WALTER K T WONG MD SC Organization | Psychiatry & Neurology (Neurology) | 2424 S 90TH ST STE. 202 WEST ALLIS, WI 53227 (414) 328-7646 |
1194963504 | NEUROLOGY ALLIANCE S.C. Organization | Psychiatry & Neurology (Clinical Neurophysiology) | 2424 S 90TH ST SUITE 504 WEST ALLIS, WI 53227 (414) 328-7489 |
1811999063 | RICHARD D DAVENPORT MD Individual | Ophthalmology | 2424 S 90TH ST STE 506 WEST ALLIS, WI 53227 (414) 328-8760 |
1154565273 | DR. SAMUEL JAMES OTTO M.D. Individual | Urology | 2424 S 90TH ST SUITE 408 MILWAUKEE, WI 53227 (414) 385-2716 |
1124018809 | JEFFREY E LARSON MD Individual | Orthopaedic Surgery | 2424 S 90TH ST SUITE 500 WEST ALLIS, WI 53227 (414) 328-8600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003806795, enumerated in the NPI registry as an "individual" on October 25, 2005
The provider is located at 2424 S 90th St Suite 500 West Allis, Wi 53227 and the phone number is (414) 328-8600
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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