Peter G. Larcom MD PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

321930-1205 Issued in UT

Legal business name

PETER G. LARCOM MD PC

Practice address

5323 South Woodrow Street Suite 200
Murray, UT 84107

Phone

(801) 747-1020

Fax

(801) 747-1023

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Katie Frischknecht

Title

Office Manager

Phone

(801) 747-1020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter G Larcom, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Murray, UT
  • NPI 1821029869

  Adult Reconstructive Orthopaedic Surgery, UT

  Medicare reassignment NPD
• McCall Fagan, PA-C

  • Physician Assistant
  • Provo, UT
  • NPI 1528052289

  UT

  Medicare reassignment

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1326286972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 SOUTH WOODROW STREET SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 SOUTH WOODROW STREET SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G. LARCOM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "FRISCHKNECHT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-747-1020"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "UT",
            "license": "321930-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Ann Permenter
• Jessica Perri
• Lucas Randall Perry
• Jon Leroy Pertab, PH.D.
• Kase Perterson
• Peter V Sundwall MD Pca
• Laura Palmer Peters, RN
• Joy Ellen Petersen, APRN
• Roger Kay Petersen, PT
• Russell S Petersen, MD

• All providers in Murray, UT
• Adult Reconstructive Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.