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

Larry T Micon, MD

Individual provider Surgery Physician · NPI 1700822772

Larry T Micon, MD is a Surgery Physician in Fishers, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
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

13914 Southeastern Pkwy Ste 202
Fishers, IN 46037-7125
Phone: (800) 477-0233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01031976A (IN)

Record details

NPI number1700822772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESMay 3, 2018
Mailing address10330 N Meridian St # 300, Indianapolis, IN 46290-1024

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