NATHAN LEE CARLSON


Address: 1050 Jabarrah Ave, Goldsboro, NC 27531-2310
Phone: 9197221821

NATHAN LEE CARLSON (NPI# 1114363884) 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) 1114363884
Entity Type Individual
Full Name NATHAN LEE CARLSON
Credential IDMT
Practice Address 1050 Jabarrah Ave
Goldsboro
NC 27531-2310
Practice Telephone 9197221821
Mailing Telephone 9197221821
Enumeration Date 2013-05-21
Last Update Date 2013-05-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers NATHAN CARLSON

NPI Name Taxonomy Address Enumeration
1891910535 Nathan P Carlson Dentist 37 Pearl St, Port Allegany, PA 16743 2007-04-16
1144212929 Nathan David Carlson Family Medicine 9985 Sierra Ave, Fontana, CA 92335-6720 2005-08-18
1548661176 Nathan Carlson Dentist 1007 Calimesa Blvd, Ste C, Calimesa, CA 92320-1131 2014-09-15
1528225836 Nathan Howard Carlson Physical Therapist 126 Missouri Ave, Mcxp - Ccs - Cr, Fort Leonard Wood, MO 65473-8952 2008-05-22
1295933612 Nathan Elliot Carlson Dentist 3156 Kensington Ave, Philadelphia, PA 19134-2400 2007-07-06
1639389653 Nathan Carlson Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2007-05-22

Office Location

Street Address 1050 JABARRAH AVE
City GOLDSBORO
State NC
Zip Code 27531-2310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447561279 Anaise Hope Hines Nurse Practitioner 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2010-06-26
1811131113 Eric Semler Clinic/Center 1050 Jabarrah Ave, Seymour Johnson Air Force Base, Goldsboro, NC 27531-2310 2009-04-30
1770573370 Charlene Y Kirby Physician Assistant 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-10-25
1023008638 Jerome L Ellis Social Worker 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-10-25
1407846256 Kevin M Lier Pharmacist 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-10-24
1588654339 Mark S Holden Psychologist 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-10-24
1497745277 C. Dianne Bailey Nurse Practitioner 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-10-24
1952390916 Carla D Atkins Social Worker 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-10-20
1336132893 Tara Nichole Piech Family Medicine 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-08-30
1992798474 Terry Alan Peterson Dentist 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 2005-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185348 Adam Golos Pharmacist 2803 Medical, N Campus Dr, Goldsboro, NC 27531 2019-10-11
1346747011 Rachel Eden Leigh Palmer Military Health Care Provider 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 2018-04-10
1689108508 Peri Fouss Pediatrics 2803 Medical Campus Drive, Goldsboro, NC 27531 2017-04-18
1700256427 Karen Schaefer Psychologist 1050 Jabara Ave., Goldsboro, NC 27531 2015-10-07
1679059737 Charles Billig Physician Assistant 2803 Medical Campus Dr, Goldsboro, NC 27531 2018-07-12
1710413216 Michael Everett Ridlehoover Dentist 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 2017-05-04
1679924344 Austin Mcjunkins Surgery 1050 Jabara Ave, Seymour Johnson A F B, NC 27531 2016-06-23
1033596937 Christina Marie Pyeatt Military Health Care Provider 1050 Jabara Ave, Flight Medicine Clinic, Seymour Johnson Afb, NC 27531 2015-04-29
1790931723 Joshua S Swantek Pharmacist 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 2008-08-11
1750430435 Brooke Wenman Heroux Psychologist 1050 Jabara Ave, Goldsboro, NC 27531 2007-01-10
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912267295 Amber Lynn Scouton Military Health Care Provider 215 Bolling Dr, Goldsboro, NC 27534-5527 2012-05-21
1811211642 Leasa C Novotny Military Health Care Provider 271 Sheridan Forest Rd Apt 1200, Goldsboro, NC 27534-7155 2010-03-23
1467784926 James Blake Little Military Health Care Provider 300 Meadow Rd, Goldsboro, NC 27534-8759 2010-02-09
1184152910 David Vincent Peter Espitia Military Health Care Provider 1050 Jabara Ave, Goldsboro, NC 27531-2310 2017-05-24
1235440439 Stacy Marie Neagles Military Health Care Provider 1050 Jabara Ave, Goldsboro, NC 27531-2310 2010-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528415841 Kelby Joseph Sage Durnin Military Health Care Provider 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 2016-05-17
1225425655 Justin Wells Military Health Care Provider 1398 Surveyor St, Pope Army Airfield, NC 28308-2710 2015-04-23
1750662417 Daryl Bradley Military Health Care Provider 146 Tulane Dr, Raeford, NC 28376 2011-09-07
1710116595 Patrick Joseph Hunt Military Health Care Provider 1 Matero Dr, Ol-c 342trs, Pope, NC 28308 2009-07-14
1184850760 Jose Victor Nazario Military Health Care Provider 628 Ed Moye Rd, La Grange, NC 28551-8888 2009-06-09
1962637504 Christopher Michael Lohr Military Health Care Provider 102 Partridge Rd, Fayetteville, NC 28306-8235 2009-05-27
1417191974 Erik William Rodriguez Military Health Care Provider 106 Purple Martin Pl, Fayetteville, NC 28306-8262 2009-04-28
1699919795 Charles J Ross Military Health Care Provider 5809 Ivanhoe Ct Apt 18, Fayetteville, NC 28314-4461 2009-04-21
1194932673 Thomas Harrison Gentry IIi Military Health Care Provider 110 Fieldcrest Dr, Jacksonville, NC 28546-9673 2007-05-16
1528044872 Tina M Starling Military Health Care Provider U.S. Coast Guard, Support Center Medical, Elizabeth City, NC 27909 2005-12-19
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Competitor

Search similar providers

City GOLDSBORO
Zip Code 27531

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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.

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