DR. LARRY JOE SEGROVES D.O.
NPI 1164715298
General Practice in Fenton, MI

Q: What is Larry Segroves's NPI number?

The NPI number for Larry Segroves is 1164715298. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Q: What is Larry Segroves's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Segroves was last updated on May 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2011

12223 WINDCHILL WAY, FENTON, MI 48430(810) 629-9828 Get Directions Write a Review

NPPES record last updated: May 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Larry Joe Segroves D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY JOE SEGROVES D.O. (NPI 1164715298) is an individual general practice provider in Fenton, Michigan, licensed in Michigan (5101006595) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1164715298

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. LARRY JOE SEGROVESCredential: D.O.

Location Address12223 WINDCHILL WAYFenton, MI 48430-3510

Mailing Address12223 Windchill WayFenton, MI 48430-3510 · (810) 629-9828

Phone(810) 629-9828

Sole ProprietorYes

Enumeration DateMay 23, 2011

✔ NPI 1164715298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 5101006595

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

12223 WINDCHILL WAY, Fenton, MI 48430

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Segroves's NPI number?

The NPI number for Larry Segroves is 1164715298. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Larry Segroves located?

Larry Segroves practices at 12223 Windchill Way, Fenton, MI 48430. The listed phone number is (810) 629-9828.

What is Larry Segroves's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Larry Segroves was last updated on May 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.