DR. LARRY A SARGENT MD NPI 1346217882

NPI Information

NPI: 1346217882
Provider Name: DR. LARRY A SARGENT, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
620 MEDICAL DR
SUITE 310
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 295-6554
Get Directions

DR. Larry A Sargent, MD is a plastic and reconstructive surgery surgery in Bountiful, UT. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Larry A Sargent, MD NPI is 1346217882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 MEDICAL DR
SUITE 310
BOUNTIFUL, UT
ZIP 84010-084
Phone: (801) 295-6554
Fax: (801) 294-4983

The NPI 1346217882 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 enumeration date for this NPI number is 3/3/2006 and was last updated on 10/17/2016.

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
1	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	18170	TENNESSEE	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	18170	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3027155	MEDICARE PIN	TENNESSEE
2	0151430	OTHER	TENNESSEE	BCBS
3	1348074	OTHER	TENNESSEE	UNITED HEALTHCARE INS.
4	PLF03906636	OTHER	TENNESSEE	CHAMPUS
5	240004378	OTHER	TENNESSEE	RAILROAD MEDICARE
6	000348466A	MEDICAID	TENNESSEE
7	TN0105	OTHER	TENNESSEE	JOHN DEERE INS.
8	C49446	MEDICARE UPIN
9	2006636	OTHER	TENNESSEE	BCBS GROUP
10	1114640001	OTHER	TENNESSEE	PALMETTO DME

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: 11/14/2023

NPI Synchronization or Removal

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