Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Everett Wayne Larsen, MD

Individual provider Anesthesiology Physician · NPI 1164450821

Everett Wayne Larsen, MD is an Anesthesiology in Centerville, Utah. Graduated from Medical College of Wisconsin in 1988, 38 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
38
Trained at
Medical College of Wisconsin
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1786 N Main St
Centerville, UT 84014-1133
Phone: (801) 599-5905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 187423-1205 (UT)

Record details

NPI number1164450821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2006
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address1786 N Main St, Centerville, UT 84014-1133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated

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