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

Michael Thorpe Larsen, MD

Individual provider Plastic Surgery Physician · NPI 1891040440

Michael Thorpe Larsen, MD is a Plastic and Reconstructive Surgery in Phoenix, Arizona. Graduated from Ohio State University College of Medicine in 2012, 14 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Ohio.

Years since qualifying
14
Trained at
Ohio State University College of Medicine
Licensed in
AZ, OH
In the registry since
2012
Specialties on file
2
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

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254
Phone: (614) 293-8652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence 58871 (AZ)
Plastic Surgery Physician Taxonomy 208200000X · Licence AO5603724206896 (OH)

Record details

NPI number1891040440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 19, 2012
Last updated in NPPESOctober 18, 2019
Mailing address370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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