DR. SUSAN A LARSON M.D.
NPI 1336125632
Pediatrics in Boulder, CO

Q: What is Susan Larson's NPI number?

The NPI number for Susan Larson is 1336125632. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Susan Larson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Larson was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 19, 2005

4745 ARAPAHOE AVE STE 200, BOULDER, CO 80303(303) 938-4750(303) 938-4753 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2021, May 20, 2016 (2 updates tracked since 2016).

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About Dr. Susan A Larson M.d. NPPES

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

DR. SUSAN A LARSON M.D. (NPI 1336125632) is an individual pediatrics provider in Boulder, Colorado, licensed in Colorado (38667) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1336125632

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SUSAN A LARSONCredential: M.D.

Location Address4745 ARAPAHOE AVE STE 200Boulder, CO 80303-1082

Mailing Address4745 Arapahoe Ave, Ste 200Boulder, CO 80303-1080 · (303) 938-4750 · Fax (303) 938-4753

Phone(303) 938-4750

Fax(303) 938-4753

Sole ProprietorNo

Enumeration DateDecember 19, 2005

Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1336125632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CO · 38667

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4745 ARAPAHOE AVE STE 200, Boulder, CO 80303

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Other Identifiers 1

Medicaid88455050CO

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOULDER MEDICAL CENTER, P.C.

Clinic/Center (Multi-Specialty)