Active NPI
Charles Allen Larnard IV, PA-C
- Physician Assistant
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003252
- Practice address
- 15855 19 Mile Rd
Clinton TWP, MI 48038-3504 - Phone
- (586) 263-2300
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003252 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone (989) 754-3000
Other practice location 2
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-6428
Other practice location 3
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-8432
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charles.larnard.1@11016.direct.athenahealth.com | ||
| Direct Messaging Address | clarnard14223@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone (269) 343-1555
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003252 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Physician Assistant | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Aspirus Medical Group, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600
295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
425 Pine Ridge Blvd
Ste 209
Wausau, WI 54401
Phone (715) 845-4606
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Interoperability endpoints
- clarnard1458382@epic00.shdirect.org
- clarnard1087286@direct.hfhs.org
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
dba Henry Ford Providence Hospital
- Surgery Physician
- Southfield, MI
- NPI 1942265236
Physician Assistant
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
dba Ascension Medical Group Primary Care Towne Centre
- Internal Medicine Physician
- Saginaw, MI
- NPI 1326658154
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba Henry Ford Providence Hospital
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1700094877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2300"
}
],
"practiceLocations": [
{
"address_1": "1015 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486012556",
"country_code": "US",
"telephone_number": "989-754-3000",
"fax_number": "989-754-3015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-6428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44201 Dequindre Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851117",
"country_code": "US",
"telephone_number": "248-964-8432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARNARD",
"first_name": "CHARLES",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003252",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charles.larnard.1@11016.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1015 S Washington Ave",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486012556",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clarnard14223@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3601 W 13 Mile Rd",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.