Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Ryan Larson, PA-C

Individual provider Physician Assistant · NPI 1851623136

Christopher Ryan Larson, PA-C is a Physician Assistant in Riverview, Florida. Qualified in 2009, 17 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
17
Licensed in
FL, MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6901 Simmons Loop
Riverview, FL 33578-9498
Phone: (813) 302-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115279 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 11595 (MN)

Record details

NPI number1851623136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2010
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address2502 W Saint Isabel St, Tampa, FL 33607-6318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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