Mitchell Williams Larsen

MD | Orthopedic Surgery | 19+ years Exp


  
1055 N 500 W, Suite 121, Provo
Utah, 84064

 801-373-7350     801-812-5401Maps & Directions
Mitchell Williams Larsen is a Provo, Utah based male orthopedic surgeon with 19 years of experience in Orthopedic Surgery. He completed his graduation from Georgetown University Of Medicine in 1999. He is also affiliated with hospitals like Utah Valley Hospital and Timpanogos Regional Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mitchell Williams Larsen is 5777288-1205 for Orthopedic Surgery in Utah.


Mitchell Williams Larsen is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Mitchell Williams Larsen speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopedic Surgery
Credentials: MD
Experience: 19+ years
Medical School Attended:Georgetown University Of Medicine
Graduation Year:1999
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:1055 N 500 W, Suite 121, Provo,
Utah, 84064
Phone:801-373-7350
Fax:801-812-5401

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4082654561
Enrollment ID: I20050504000167
NPI Number: 1205928546
NPI Enumeration Date: 28 Sep, 2006
NPI Last Update On: 09 Dec, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitchell Williams Larsen are as mentioned below.
License NumberSpecializationStateStatus
5777288-1205Orthopedic Surgery UtahPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Utah Valley Hospital (460001)Provo, UTAcute Care Hospital
Timpanogos Regional Hospital (460052)Orem, UTAcute Care Hospital
Mountain View Hospital (460013)Payson, UTAcute Care Hospital
American Fork Hospital(460023)American fork, UTAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mitchell Williams Larsen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Central Utah Clinic P C (7517868508)304
Other Medical Identifiers:
Other legacy medical identifiers associated with Mitchell Williams Larsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
243131OtherUtahALTIUS
P00244092OtherUtahPALMETTO
107037933101OtherUtahIHC
870281028MWLOtherUtahEMIA
09-00575OtherUtahUTAH HEALTHCARE
82672OtherUtahPEHP
D6321MedicaidUtah
891680OtherUtahDMBA
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS He participates in the Physician Quality Reporting System Incentive Program.
EHR He participates in the Electronic Health Record Incentive Program.
MHI He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1055 N 500 W,
Provo, Utah
Zip: 84604-3305
Phone Number: 801-373-7350
Fax Number: 801-812-5401
Patients can reach Mitchell Williams Larsen at 1055 N 500 W, Suite 121, Provo, Utah or can call to book an appointment on 801-373-7350. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 September, 2018.

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