DR. LARRY A SARGENT (NPI# 1346217882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346217882 |
| Entity Type | Individual |
| Full Name | DR. LARRY A SARGENT |
| Credential | MD |
| Practice Address |
620 Medical Dr Suite 310 Bountiful UT 84010-5084 |
| Practice Telephone | 8012956554 |
| Practice Fax Number | 8012944983 |
| Mailing Telephone | 8012956554 |
| Mailing Fax Number | 8012944983 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
18170 | TN | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
18170 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS GROUP | 2006636 | 01 |
| TN | JOHN DEERE INS. | TN0105 | 01 |
| TN | RAILROAD MEDICARE | 240004378 | 01 |
| TN | PALMETTO DME | 1114640001 | 01 |
| TN | UNITED HEALTHCARE INS. | 1348074 | 01 |
| TN | 000348466A | 05 | |
| TN | BCBS | 0151430 | 01 |
| TN | CHAMPUS | PLF03906636 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659658748 | Larry Charles Sargent | Counselor | 167 Palencia Village Dr Ste 101, St Augustine, FL 32095-8450 | 2011-11-03 |
| 1720123599 | Larry Sargent | Counselor | 104 Padre Martinez Ln, Unit 8, Taos, NM 87571-5937 | 2007-02-20 |
| Street Address |
620 MEDICAL DR SUITE 310 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294475 | Molly Mears | Obstetrics & Gynecology | 620 Medical Dr, Suite 340, Bountiful, UT 84010-4908 | 2005-09-12 |
| 1083156384 | Melissa Yamashiro | Physician Assistant | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5084 | 2016-11-17 |
| 1114217205 | Andrea P Edwards | Pediatrics | 620 Medical Dr, Suite 100, Bountiful, UT 84010-5084 | 2011-04-11 |
| 1861676165 | Lakeview Neurology PC | Neurological Surgery | 620 Medical Dr, Suite 150, Bountiful, UT 84010-5084 | 2007-12-21 |
| 1205977188 | Jonathan Milton Tew | Pediatrics | 620 Medical Dr, Suite 100, Bountiful, UT 84010-5084 | 2007-02-12 |
| 1598831604 | Laura Maudlyn Zaugg | Advanced Practice Midwife | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5084 | 2006-11-28 |
| 1548360217 | Cope Family Medicine Lc | Family Medicine | 620 Medical Dr, Suite 150, Bountiful, UT 84010-5084 | 2006-09-23 |
| 1194825117 | Gina M Muscolino | Specialist | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5084 | 2006-09-22 |
| 1831202118 | Lakeview Neurosurgery Clinic, LLC | Psychiatry & Neurology | 620 Medical Dr, Suite 300, Bountiful, UT 84010-5084 | 2006-08-17 |
| 1932112448 | Lakeview Hospital Physician Services LLC | Obstetrics & Gynecology | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5084 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1437216306 | Kimball M Crofts | Surgery | 385 W 600 N, Lindon, UT 84042-1330 | 2007-01-02 |
| 1508878372 | Jayant Prasad Agarwal | Surgery | Division of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132-0001 | 2006-08-12 |
| 1720005317 | Jason T Koo | Surgery | 13249 Cascade Glen Dr, Draper, UT 84020-7146 | 2006-07-17 |
| 1295705697 | Todd B Engen | Surgery | 1735 N State St, Provo, UT 84604-1010 | 2006-01-26 |
| 1538151063 | Allisyn Okawa | Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-08-19 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| 1275937088 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1538572169 | Vincent Surgical Arts, LLC | Surgery | 6710 S Blackstone Rd, Suite 201, Cottonwood Heights, UT 84121-6072 | 2014-06-11 |
| 1689906976 | Premier Plastic Surgery Group of Utah | Surgery | 11762 S State St Ste 220, Draper, UT 84020-7156 | 2010-02-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.