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

Douglas C Larsen, PA

Individual provider Physician Assistant · NPI 1053386631

Douglas C Larsen, PA is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 1995, 31 years ago. Practices with Orthowest, LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
31
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2725 S 144th St Ste 212
Omaha, NE 68144-5253
Phone: (402) 609-3000
Fax: (402) 609-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 689 (NE)

Record details

NPI number1053386631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Orthowest, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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