DR. DEREK MIKEL CARLSON (NPI# 1093911885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093911885 |
Entity Type | Individual |
Full Name | DR. DEREK MIKEL CARLSON |
Credential | D.O. |
Practice Address |
7277 Nightstalker Way Fort Campbell KY 42223-5151 |
Mailing Address |
7277 Nightstalker Way Fort Campbell KY 42223 |
Practice Telephone | 2707989416 |
Mailing Telephone | 2707989416 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2010-09-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 252015 | NY | Allopathic & Osteopathic Physicians |
Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
252015 | NY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790775450 | Derek Carl Carlson | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2005-10-25 |
1922547314 | Derek John Carlson | Registered Nurse | 35 North St, Canandaigua, NY 14424-1075 | 2017-02-17 |
Street Address |
7277 NIGHTSTALKER WAY |
City | FORT CAMPBELL |
State | KY |
Zip Code | 42223-5151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
Find all providers in zip 42223 |
Taxonomy Code | 2083A0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Aerospace Medicine |
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821300880 | Courtney Jerome Hayes | Preventive Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2010-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194953927 | Jonathan Michael Strobel | Preventive Medicine | Bldg 7973 Thunder Blvd, Ft Campbell, KY 42223 | 2009-07-01 |
1982744900 | Kenneth Michael Alea | Preventive Medicine | 111 Washington Ave, Ste 220, Lexington, KY 30536 | 2007-02-07 |
City | FORT CAMPBELL |
Zip Code | 42223 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.