DR. JOHN ELLERT CARLSON


Address: 9764 Country Creek Way, Dayton, OH 45458-9242
Phone: 9378853954

DR. JOHN ELLERT CARLSON (NPI# 1184735854) 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) 1184735854
Entity Type Individual
Full Name DR. JOHN ELLERT CARLSON
Credential MD
Practice Address 9764 Country Creek Way
Dayton
OH 45458-9242
Mailing Address 23625 Commerce Park
Suite 204
Beachwood
OH 44122-5845
Practice Telephone 9378853954
Mailing Telephone 2162555700
Mailing Fax Number 2162555701
Enumeration Date 2006-08-31
Last Update Date 2009-07-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
35068359 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0460497 05

Other Providers JOHN CARLSON

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1467542241 John D Carlson Optometrist 2170 Highway 51 S Ste 6, Hernando, MS 38632-1108 2006-10-13
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1134198674 John Compton Carlson Obstetrics & Gynecology 3524 Silverside Rd, The Commons, Suite 33, Wilmington, DE 19810-4929 2006-03-16
1215916291 John Raymond Carlson Dentist 58 Court St, Middlebury, VT 05753-1419 2006-01-10

Office Location

Street Address 9764 COUNTRY CREEK WAY
City DAYTON
State OH
Zip Code 45458-9242

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948170 John M Duchak Md Cardiology LLC Specialist 1036 Wild Hickory Lane, Centerville, OH 45458 2020-09-24
1942833389 Colleen Stevens Counselor 955 Sweeney Drive, Dayton, OH 45458 2020-02-13
1740770197 Social Row Transitional Care, Inc. Skilled Nursing Facility 250 West Social Row Road, Centerville, OH 45458 2018-05-11
1326568833 Mary Ann Horton Registered Nurse 1362 Hickoryview Ct, Dayton, OH 45458 2017-06-26
1487101911 Brianna Burkman Specialist/Technologist 1400 Stone Ash Ct, Centerville, OH 45458 2016-09-01
1720434707 Ascent Health, LLC Community/Behavioral Health 1162 Peachcreek Rd., Dayton, OH 45458 2016-05-10
1821450206 Chi Living Communties Skilled Nursing Facility 1050 St. Leonard Way, Centerville, OH 45458 2016-03-24
1265842835 Amanda Powell Physical Therapist 9582 Tahoe Drive, Centerville, OH 45458 2014-05-05
1255774337 Rita Charlene Penley Counselor 99 South Main St, Centerville, OH 45458 2013-04-09
1447503933 Martha Ann Sheldrick Nurse Practitioner 212 Walnut Grove Dr, Centerville, OH 45458 2012-10-21
Find all providers in zip 45458

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043252026 Rochelle Denise Hurt Radiology 9775 Greenside Ct, Dayton, OH 45458-6025 2006-06-12
1942259742 David F Vanderburgh Radiology 1908 Coolidge Drive, Dayton, OH 45419 2006-05-09
1447236377 Victor L Perez Radiology 2591 Miamisburg Centerville Rd Ste 302, Dayton, OH 45459 2005-12-22
1205819125 Bradley Alan Weber Radiology 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 2005-11-23
1295728251 Norman E Pennington Radiology 3195 Dayton Xenia Rd, Suite 900-123, Dayton, OH 45434-6390 2005-08-25
1407259849 Clinic Medical Services Company Radiology 5529 Far Hills Ave, Dayton, OH 45429-2225 2014-09-30
1033538426 Austin Peters Radiology 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2014-04-14
1700142726 Nishanta Bikram Baidya Radiology 3535 Southern Blvd, Dayton, OH 45429-1221 2012-04-03
1548595382 Jarrod Dean Curry Radiology 405 W Grand Ave, Dayton, OH 45405-4720 2009-10-13
1033350814 Neil A Lester Radiology 3535 Southern Blvd, Dayton, OH 45429-1221 2009-03-09
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45458

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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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