LARRY CHARLESTON, IV M.D. – NPI #1730314782
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

LARRY CHARLESTON, IV is a psychiatry & neurologist located in EAST LANSING, MI. NPPES has assigned the NPI number 1730314782 to LARRY CHARLESTON, IV on May 20, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 3 years ago on Jun 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY CHARLESTON, IV below.

NPI Profile for
LARRY CHARLESTON, IV

NPI Number
1730314782
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY CHARLESTON, IV
Credentials
M.D.
Primary location
804 SERVICE RD STE A217
EAST LANSING, MI 48824-7015
Phone: (517) 353-8122 Fax: (517) 432-3713
1 Other location(s):
1500 E Medical Center Dr
1st floor Taubman Center Recp C
Ann Arbor, MI 48109-5322
Phone: (734) 936-9010
Mailing address
804 SERVICE RD STE A109B
EAST LANSING, MI 48824-7015
Phone: (517) 353-8122 Fax: (517) 432-3713
Sole Proprietor
No
Updated
Certification Date
Jun 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LARRY CHARLESTON, IV

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI1730314782
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
MI 4301086055

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.