BENJAMIN ZACHARY LARSEN MD NPI 1124519657

NPI Information

  • NPI: 1124519657
  • Provider Name: BENJAMIN ZACHARY LARSEN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4403 HARRISON BLVD STE 700A
    OGDEN, UT
    ZIP 84403
  • Phone: (801) 387-5300

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NPI Details

Benjamin Zachary Larsen, MD is a general practice in Ogden, UT with 7 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Benjamin Zachary Larsen, MD NPI is 1124519657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2018

The provider's business location address is:

4403 HARRISON BLVD STE 700A
OGDEN, UT
ZIP 84403-295
Phone: (801) 387-5300
Fax: (801) 387-5333

The NPI 1124519657 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Bacterial urine culture (HCPCS:87088)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Bacterial culture for aerobic isolates (HCPCS:87077)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)

The enumeration date for this NPI number is 5/21/2018 and was last updated on 6/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine11401709-1205UTAHNo
2208D00000XGeneral Practice11401709-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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