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

Charles S Larsen, DO

Individual provider Family Medicine Physician · NPI 1902169972

Charles S Larsen, DO is a Family Practice in Maryland Heights, Missouri. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MO
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2024 Dorsett Vlg
Maryland Heights, MO 63043-2208
Phone: (314) 590-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2015023172 (MO)

Record details

NPI number1902169972
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2012
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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