Larry Joe Segroves, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101006595 Issued in MI

Practice address

12223 Windchill Way
Fenton, MI 48430-3510

Phone

(810) 629-9828

NPI assigned

May 23, 2011

Last updated

May 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Genesys Hospital

  dba Ascension Genesys Short Term Rehabilitation Center

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD (past)
• Genesys Integrated Group Practice PC

  • Nurse Practitioner
  • Flint, MI
  • NPI 1386782381
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1164715298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 WINDCHILL WAY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303510",
            "telephone_number": "810-629-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12223 WINDCHILL WAY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303510",
            "telephone_number": "810-629-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGROVES",
        "first_name": "LARRY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101006595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F Schwarz, MD
• Amy Scott, LMSW
• Vanessa Scowden, M.D.
• Rebecca Seaward, LLPC
• Justine Seeley
• Eric Scott Seiger, DO
• Sequoia Psychological Services
• Serenity Recovery Services LLC
• Seven Lakes Periodontics
• Michelle Ann Sgalia, D.D.S.

• General Practice Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.