Larson Plastic Surgery, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LARSON PLASTIC SURGERY, PLLC

Practice address

7005 N Oracle Rd
Tucson, AZ 85704-4329

Phone

(520) 771-0177

Fax

(520) 300-7316

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Ethan Eric Larson, MD

Title

Cmo, Ceo

Phone

(520) 771-0177

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1821680471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044329",
            "telephone_number": "520-771-0177",
            "fax_number": "520-300-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044329",
            "telephone_number": "520-771-0177",
            "fax_number": "520-300-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CMO, CEO",
        "authorized_official_telephone_number": "520-771-0177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldene Grace Larrington, MA, OTRL
• Larry F Wheeler, DDS, PC
• Larry I Mann, MD
• Jaiva Blair Larsen, M.D
• Mark Larsen, DMD
• Douglas Frank Larson, PH.D.
• Elizabeth Kay Larson, R.N.
• Ethan Erik Larson, MD
• Jason Bradley Larson, DO
• Jon Larson, M.D.

• Plastic Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.