MR. CHRISTOPHER R CARLSON (NPI# 1144220526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144220526 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER R CARLSON |
| Credential | PA-C, ATC |
| Practice Address |
4824 E Baseline Rd Suite 113 Mesa AZ 85206-4676 |
| Mailing Address |
Po Box 31917 Mesa AZ 85275-1917 |
| Practice Telephone | 4803503800 |
| Mailing Telephone | 4803503800 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1593 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1593 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 153982 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617801 | Christopher M Carlson | Rehabilitation Practitioner | 330 E. Live Oak Ave., Arcadia, CA 91006 | 2008-12-01 |
| 1427061902 | Christopher Ryan Carlson | Physical Therapist | 75-5699 Kopiko St, Kailua Kona, HI 96740-3651 | 2006-08-14 |
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1417457706 | Christopher Lee Carlson | Behavior Technician | 8555 Aero Dr Ste 201, San Diego, CA 92123-1745 | 2018-02-13 |
| 1427419654 | Christopher S Carlson | Dentist | 1959 Ne Pacific Street; Box 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195 | 2016-03-16 |
| 1043684822 | Christopher Carlson | Nurse Practitioner | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2015-11-17 |
| 1124411269 | Christopher Carlson | Physician Assistant | 601 Elmwood Ave, 619-hmd, Rochester, NY 14642-0001 | 2015-03-13 |
| 1053613174 | Christopher Kenneth Carlson | Student in an Organized Health Care Education/Training Program | 30 S 2000 E, Salt Lake City, UT 84112-5820 | 2010-11-22 |
| 1093964892 | Christopher Carlson | Social Worker | 152 Lynnway Ste 2c, Lynn, MA 01902 | 2008-09-17 |
| 1316168966 | Christopher Lance Carlson | Emergency Medicine | 100 N Clayview Dr, Liberty, MO 64068-1115 | 2007-05-01 |
| Street Address |
4824 E BASELINE RD SUITE 113 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548614936 | Cooper Duane Anderson | Chiropractor | 4824 E Baseline Rd, Mesa, AZ 85206-4676 | 2016-04-21 |
| 1871976456 | Dylan Thomas | Dentist | 4824 E Baseline Rd, #140, Mesa, AZ 85206-4676 | 2015-07-01 |
| 1467848242 | Dewane Arthur Brueske | Dentist | 4824 E Baseline Rd, Ste 140, Mesa, AZ 85206-4676 | 2015-04-08 |
| 1497144786 | Rachael Greensides | Nurse Practitioner | 4824 E Baseline Rd, 3-125, Mesa, AZ 85206-4676 | 2015-01-09 |
| 1902219256 | New Direction Fertility Centers | Obstetrics & Gynecology | 4824 E Baseline Rd, Suite 132, Mesa, AZ 85206-4676 | 2014-06-04 |
| 1861804429 | Chad Joseph Wolsey | Chiropractor | 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206-4676 | 2014-05-29 |
| 1730422692 | Arizona Women's Health Partners Pllc | Obstetrics & Gynecology | 4824 E Baseline Rd, Ste 129, Mesa, AZ 85206-4676 | 2013-03-29 |
| 1134467970 | Verve Physical Therapy Group LLC | Physical Therapist | 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206-4676 | 2013-01-30 |
| 1255676300 | Raheel Ashraf Mann | Chiropractor | 4824 E Baseline Rd, Ste 140, Mesa, AZ 85206-4676 | 2012-11-30 |
| 1871855072 | James Nicholas Yarusso | Internal Medicine | 4824 E Baseline Rd, Suite 140, Mesa, AZ 85206-4678 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1679826051 | Az Richardson Surgical Services, LLC | Physician Assistant | 6417 E Star Valley St, Mesa, AZ 85215-0891 | 2012-10-22 |
| 1508173014 | Karli Elizabeth Vierra | Physician Assistant | 1450 S Dobson Rd Ste 320b, Mesa, AZ 85202-4765 | 2010-09-03 |
| 1023335627 | Shawn Christopher Smith | Physician Assistant | 1432 S. Dobson Road, Suite 501, Mesa, AZ 85202 | 2010-04-23 |
| 1144460221 | April M Cadreau | Physician Assistant | 5235 E Southern Ave Ste D106-159, Mesa, AZ 85206 | 2009-03-02 |
| 1598987505 | Patricia Kim Brown | Physician Assistant | 1002 E. Sorenson St., Mesa, AZ 85203 | 2007-05-02 |
| 1275632788 | Justina D Alphin | Physician Assistant | 7525 E Broadway Rd Ste 3, Mesa, AZ 85208-1156 | 2006-09-21 |
| 1750390803 | Daniel Stephen Blake | Physician Assistant | 1839 E Enrose St, Mesa, AZ 85203-5822 | 2006-08-07 |
| Find all providers in MESA | ||||
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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.