JESTIN CARLSON


Address: 4950 Buffalo Rd, Erie, PA 16510-2304
Phone: 8148982576

JESTIN CARLSON (NPI# 1164615175) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine MD437795 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4247 W Ridge Rd Ste 101, Erie, PA 165061746 8148352580

Office Location

Street Address 4950 BUFFALO RD
City ERIE
State PA
Zip Code 16510-2304

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16510

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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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