DR. AMANDA S CARLSON (NPI# 1164628574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164628574 |
| Entity Type | Individual |
| Full Name | DR. AMANDA S CARLSON |
| Other Name | AMANDA BRYANT |
| Credential | M.D |
| Practice Address |
1313 Fish Hatchery Rd Madison WI 53715-1911 |
| Practice Telephone | 6082528000 |
| Practice Fax Number | 6082837318 |
| Mailing Telephone | 6082528000 |
| Mailing Fax Number | 6082837318 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
54334 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1164628574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460647 | Amanda Lyn Carlson | Registered Nurse | 3461 Cedar Dr, Park City, UT 84098-5499 | 2020-06-02 |
| 1295334969 | Amanda Ruth Carlson | Social Worker | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-22 |
| 1104436708 | Amanda Jean Carlson | Speech-Language Pathologist | 9737 Great Hills Trl Ste 120, Austin, TX 78759-6418 | 2020-08-07 |
| 1932744109 | Amanda Carlson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-11-12 |
| 1912540311 | Amanda Carlson | Social Worker | 1747 Heritage Ln Ste B101, Syracuse, UT 84075-8546 | 2019-10-18 |
| 1215403258 | Amanda Sue Carlson | Nurse Practitioner | 2130 S 21st St, Philadelphia, PA 19145-3401 | 2018-10-17 |
| 1265940720 | Amanda Carlson | Speech-Language Pathologist | 2222 N Lincoln Ave, York, NE 68467-1030 | 2018-01-18 |
| 1689190613 | Amanda M Carlson | Social Worker | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2017-08-22 |
| 1801214028 | Amanda Carlson | Surgery | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2014-04-03 |
| 1871937474 | Amanda Kristen Carlson | Family Medicine | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2013-04-25 |
| Street Address |
1313 FISH HATCHERY RD |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335269 | Paul A Boeder | Obstetrics & Gynecology | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2005-09-07 |
| 1780202663 | Julie Armstrong | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2020-07-08 |
| 1316580517 | Kelly Nicole Morgan | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-10-21 |
| 1952952921 | Drew A Roenneburg | Physician Assistant | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-09-21 |
| 1386299154 | Antonia Efua Bertram | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-08-07 |
| 1407314081 | Tempesst L Merricks | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-03-04 |
| 1588133219 | Jorja Gander | Pharmacist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-11-26 |
| 1841772381 | Jessica M Vaughan | Advanced Practice Midwife | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-31 |
| 1295216430 | Sarah A Vadnais | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-26 |
| 1063906451 | Anthony P Rinaldi | Psychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617918 | Lisa M Dunkle | Internal Medicine | 12 Richborough Rd, Madison, CT 06443-2530 | 2008-11-26 |
| 1568508307 | Matthew George Erickson | Internal Medicine | 2701 University Ave, Suite 414, Madison, WI 53705-3700 | 2007-01-29 |
| 1114306537 | Jaime Gonzalez | Internal Medicine | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2015-05-19 |
| 1053639823 | Joseph Anthony Mcbride | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2010-05-04 |
| 1386976991 | Caitlin S Pepperell | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2010-02-06 |
| 1457507246 | Frank P. Polyak | Internal Medicine | 202 So. Park St., Meriter Hospital Ehs, Madison, WI 53715 | 2008-08-12 |
| 1588873376 | Daniel K Shirley | Internal Medicine | 600 Highland Ave, Madison, WI 53792-2812 | 2007-05-21 |
| 1609084862 | Kristine M Matson | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2007-05-20 |
| 1982768677 | Shravan Kethireddy | Internal Medicine | University of Wisconsin Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2006-12-20 |
| 1588727432 | Elizabeth A Misch | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2006-12-19 |
| Find all providers in MADISON | ||||
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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.