Individual provider Active NPI

Charles Allen Larnard IV, PA-C

  • Physician Assistant
  • Clinton TWP, MI
National Provider Identifier
1700094877
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003252 Issued in MI
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

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041015000331 MI Practitioner - Physician Assistant 7214997071 Reassigns benefits to 6 organizations
I20251003002619 WI Practitioner - Physician Assistant 7214997071 Reassigns benefits to 2 organizations

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
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

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

LicenseStateTypeSpecialty
5601003252MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Jun 8, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 13, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 13, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 1, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 1, 2025 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 4, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 13, 2025 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 4, 2023 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 9, 2019 Accepting new patients
Henry Ford Health Providence Hospital Physician Assistant CurrentSince Jul 1, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Jun 8, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 13, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 9, 2019 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

  • Direct secure messaging: clarnard1458382@epic00.shdirect.org
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.