Provider Demographics
NPI:1316171945
Name:LARRIMER, ZACHARY S (MD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:S
Last Name:LARRIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-609-2229
Mailing Address - Fax:501-321-4057
Practice Address - Street 1:ONE MERCY LANE
Practice Address - Street 2:201
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6457
Practice Address - Country:US
Practice Address - Phone:501-609-2229
Practice Address - Fax:501-321-4057
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-8741208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR205815001Medicaid