Individual provider Active NPI

Seth Harly Larsen, DO, ABFM, CSCS

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1447633110
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008324 Issued in AZ
Practice address
18404 N Tatum Blvd
Phoenix, AZ 85032-1510
Phone
(602) 485-7475
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008324 AZ Primary

Addresses

Primary practice location

18404 N Tatum Blvd
Phoenix, AZ 85032-1510

Mailing address

18404 N Tatum Blvd
Phoenix, AZ 85032-1510
Phone (602) 485-7475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111002579 AZ Practitioner - Family Practice 2860881810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7002
Phone (623) 238-7310

6220 W Bell Rd
Glendale, AZ 85308-3896

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jun 29, 2025 Accepting new patients
Honorhealth Urgent Care, LLC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jun 29, 2025 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Sep 20, 2022 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1124 E McKellips Rd
Ste 102
Mesa, AZ 85203
Phone (480) 587-5520

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

450 E Rio Salado Pkwy
Bldg C
Tempe, AZ 85281
Phone (480) 882-7380

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1447633110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321510",
            "telephone_number": "602-485-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321510",
            "telephone_number": "602-485-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SETH",
        "middle_name": "HARLY",
        "name_prefix": "Dr.",
        "credential": "DO, ABFM, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.