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

Dr. Douglas Glen Larson, MD

Individual provider Diagnostic Radiology Physician · NPI 1003064999

Dr. Douglas Glen Larson, MD is a Diagnostic Radiology in Las Vegas, Nevada. Graduated from Ohio State University College of Medicine in 2008, 18 years ago. Practices with Ellis Bandt Birkin Kollins and Wong PLLC, a 71-clinician group and accepts Medicare assignment. Licensed in Nevada and Oregon.

Years since qualifying
18
Trained at
Ohio State University College of Medicine
Licensed in
NV, OR
In the registry since
2008
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

2020 Palomino Ln #100
Las Vegas, NV 89106-4842
Phone: (702) 759-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD172183 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 15305 (NV)

Record details

NPI number1003064999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2008
Last updated in NPPESOctober 3, 2016

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Ellis Bandt Birkin Kollins And Wong Pllc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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