JESTIN CARLSON (NPI# 1164615175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164615175 |
Entity Type | Individual |
Full Name | JESTIN CARLSON |
Credential | M.D. |
Practice Address |
4950 Buffalo Rd Erie PA 16510-2304 |
Practice Telephone | 8148982576 |
Practice Fax Number | 8148998790 |
Mailing Telephone | 8148982576 |
Mailing Fax Number | 8148998790 |
Enumeration Date | 2007-08-22 |
Last Update Date | 2020-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | MD437795 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4247 W Ridge Rd Ste 101, Erie, PA 165061746 | 8148352580 |
Street Address |
4950 BUFFALO RD |
City | ERIE |
State | PA |
Zip Code | 16510-2304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235132812 | Allan Charles Johnson Jr. | Family Medicine | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2005-05-27 |
1205493228 | Amanda Roets | Physical Therapist | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2019-05-24 |
1154734861 | Andres Bryant Duran | Family Medicine | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2014-06-10 |
1023446432 | Dorcas Isidora Lacayo Allen | Family Medicine | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2013-10-22 |
1487096152 | Marjorie Cua | Pediatrics | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2013-07-23 |
1487963526 | Saint Vincent Medical Education And | Non-Pharmacy Dispensing Site | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2010-10-06 |
1649405796 | St Vincent Medical Education and Research Institute Inc | Family Medicine | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2009-05-19 |
1497993869 | Bridget M Hannon Foust | Nurse Practitioner | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2009-01-23 |
1023277118 | Cynthia L Dahlkemper | Nurse Practitioner | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2008-06-04 |
1033376553 | Caroline A Colleran | Emergency Medicine | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2008-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285115972 | Alexa Snyder | Occupational Therapist | 2544 Hope Dr Apt 1, Erie, PA 16510 | 2018-08-22 |
1538610977 | Valentine Ekule Ojong | Exclusive Provider Organization | 4173 Wood Hills Dr, Erie, PA 16510 | 2016-10-20 |
1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
1205910387 | Daryl Thomas Pierce | Dentist | 4626 Buffalo Road, Erie, PA 16510 | 2006-10-25 |
1326158155 | Robert Louis Baxter | Dentist | 3311 Buffalo Rd, Erie, PA 16510 | 2006-08-30 |
1538231543 | Halina B Wilczanski | Dentist | 5241 Buffalo Rd, Erie, PA 16510 | 2006-11-14 |
1518516897 | Helping Hands Angels LLC | Home Health | 1523 Prospect Ave, Erie, PA 16510-1041 | 2019-09-09 |
1932748357 | Global In-home Care LLC | Home Health | 2066 E 18th St, Erie, PA 16510-1118 | 2020-01-02 |
1699050526 | Judy Colleen Butler | Registered Nurse | 2068 E 20th St, Erie, PA 16510-1148 | 2011-10-11 |
1972779320 | Adrienne Michele Dixon-mccullum | Psychologist | 2513 Harrison St, Erie, PA 16510-1511 | 2008-05-06 |
Find all providers in zip 16510 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780176388 | Matthew Marion Mccarthy | Emergency Medicine | 1416 W Grandview Blvd, Erie, PA 16509-1267 | 2018-05-31 |
1205280872 | Alan Goff Jr. | Emergency Medicine | 2221 Eastern Ave, Erie, PA 16510-1717 | 2016-04-19 |
1659747483 | Chad Val Stratford | Emergency Medicine | 252 W 25th St, Erie, PA 16544 | 2015-08-17 |
1487950986 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 5039 Peach St, Unit A-9, Erie, PA 16509-2032 | 2011-01-31 |
1326340555 | Keyur Patel | Emergency Medicine | 5708 Georgetown Dr, Erie, PA 16509-3139 | 2010-11-19 |
1093964082 | Amy Pope | Emergency Medicine | 135 East 38th Street Boulevard, Erie, PA 16504-1596 | 2008-09-15 |
1104841501 | Dean Williams | Emergency Medicine | 2159 Pinon Cir, Erie, CO 80516-7958 | 2006-07-13 |
1972535888 | Mary Ann Kozlowski | Emergency Medicine | 3850 Beech Ave, Erie, PA 16508-3113 | 2006-07-07 |
1063487544 | Frank J. Liebentritt | Emergency Medicine | 6427 Downhill Dr, Erie, PA 16505-1067 | 2006-02-20 |
1023088226 | Susan E Robbins | Emergency Medicine | 7200 Peach St, Epn/hamot Urgent Care-upmc Unit 16, Erie, PA 16509-4754 | 2006-01-23 |
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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.