DR. JOEL ANDREW CARLSON (NPI# 1144200916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144200916 |
| Entity Type | Individual |
| Full Name | DR. JOEL ANDREW CARLSON |
| Credential | DO |
| Practice Address |
777 Hospital Way Bldg A Suite 300 Pocatello ID 83201-5176 |
| Practice Telephone | 2082331720 |
| Practice Fax Number | 2082393403 |
| Mailing Telephone | 2082331720 |
| Mailing Fax Number | 2082393403 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | O-0407 | ID | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 3140 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | RAILROAD MEDICARE | P00355281 | 01 |
| ID | DESERET MUTUAL | 546490 | 01 |
| ID | BLUE CROSS | S6109 | 01 |
| ID | 807508700 | 05 | |
| ID | REGENCE-BLUE SHIELD | 000010156981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| Street Address |
777 HOSPITAL WAY BLDG A SUITE 300 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825892 | Gregory S Harrison | Neurological Surgery | 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | 2005-07-15 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| 1316570757 | Mark Alan Pendleton | Nurse Anesthetist, Certified Registered | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-02-13 |
| 1508413220 | Hilary Worthen | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-08-19 |
| 1437612447 | Walter S Medlin Md PC | Surgery | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-04-08 |
| 1396203428 | Amber Frost | Family Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-03-07 |
| 1649756404 | Kamilla Gundersen | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83207 | 2018-07-16 |
| 1043716285 | Brice Anderson | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-04-05 |
| 1851808133 | Rocky Mountain Physician Group LLC | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-08 |
| 1154838886 | Mark Willis | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659887511 | Bmh Inc. | Obstetrics & Gynecology | 777 Hospital Way Ste 300, Pocatello, ID 83201-5176 | 2017-12-14 |
| 1013282169 | Christine E Black | Obstetrics & Gynecology | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2012-03-21 |
| 1669753109 | Care LLC | Obstetrics & Gynecology | 500 S 11th Ave, Ste 201, Pocatello, ID 83201-4835 | 2011-08-29 |
| 1790948040 | Bmh Inc | Obstetrics & Gynecology | 1151 Hospital Way Ste D, Suite 201, Pocatello, ID 83201-5091 | 2008-07-08 |
| 1821127077 | Edward A Desano Jr Md Pa | Obstetrics & Gynecology | 755 Hospital Way, B 2, Pocatello, ID 83201-2717 | 2007-03-05 |
| 1366585994 | Timothy J. Ramsden, M. D., P. C. | Obstetrics & Gynecology | 1151 Hospital Way # D, Suite 201, Pocatello, ID 83201-2763 | 2007-02-14 |
| 1972696565 | Michael Gary Jones | Obstetrics & Gynecology | 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5176 | 2006-10-02 |
| 1801841457 | Cheryl M Callaghan | Obstetrics & Gynecology | 500 S 11th Ave, Suite 201, Pocatello, ID 83201-4835 | 2006-05-23 |
| 1801848221 | Kim Leon Cox | Obstetrics & Gynecology | 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5175 | 2006-05-16 |
| 1477501930 | Cds,pa | Obstetrics & Gynecology | 777 Hospital Way, Bldg A, Ste 300, Pocatello, ID 83201-5175 | 2006-05-05 |
| Find all providers in POCATELLO | ||||
Please comment or provide details below to improve the information on DR. JOEL ANDREW CARLSON.
| 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.