Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336125632 Individual Practitioner Female Practitioner

Dr. Susan A Larson , MD

Pediatrics • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Susan Larson, MD is a registered healthcare professional specializing in Pediatrics in Boulder, CO. Practice services are available at 4745 ARAPAHOE AVE STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4745 Arapahoe Ave Ste 200

Boulder, CO 803031082

Telephone 3039384750
Fax 3039384753
Associated Practice Facility / Clinic
🏢 Boulder Medical Center, P.c. Facility NPI 1174156939

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Boulder, CO (1195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CO 38667

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
88455050 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1285603696

Doctor of Medicine (M.D.)

Kari Waddell , FNP

Nurse Practitioner - Family

NPI 1386920254

Family Nurse Practitioner

NPI 1568447894

Doctor of Medicine (M.D.)

NPI 1578547220

Doctor of Medicine (M.D.)

Dr. Kathryn Hoch , MD

Obstetrics & Gynecology

NPI 1639268642

Doctor of Medicine (M.D.)

Dr. Teuta Shemshedini , MD

Obstetrics & Gynecology

NPI 1760774178

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 22, 2021

Registered at 4745 ARAPAHOE AVE STE 200, BOULDER, CO 803031082 (Tel: 3039384750)

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2016

Registered at 2550 S PARKER RD, STE 206, AURORA, CO 800141622 (Tel: 3033067783)

📍
Updated Business Mailing Address May 25, 2016

Registered at 4745 ARAPAHOE AVE, STE 200, BOULDER, CO 803031080 (Tel: 3039384750)

👤
Provider Name / Credentials Updated May 25, 2016

Recorded as SUSAN LARSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Pediatrics (License #38667 in CO)

🟢
Initial NPI Registration & Enumeration December 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336125632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2005
Last Update: March 22, 2021
Sole Proprietor: No

Mailing Address

4745 Arapahoe Ave, Ste 200

Boulder, CO 803031080

Phone: 3039384750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.