DR. DEREK MIKEL CARLSON


Address: 7277 Nightstalker Way, Fort Campbell, KY 42223-5151
Phone: 2707989416

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).

Provider Overview

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

Taxonomy

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

Other Providers DEREK CARLSON

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

Office Location

Street Address 7277 NIGHTSTALKER WAY
City FORT CAMPBELL
State KY
Zip Code 42223-5151

Providers in the same zip code

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 Information

Taxonomy Code 2083A0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Aerospace Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821300880 Courtney Jerome Hayes Preventive Medicine 650 Joel Dr, Fort Campbell, KY 42223-5318 2010-07-07

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FORT CAMPBELL
Zip Code 42223

Improve Information

Please comment or provide details below to improve the information on DR. DEREK MIKEL CARLSON.

Dataset Information

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.

Trending Searches