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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35068359 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0460497 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033594007 | John James Carlson | Optometrist | 65 W Whidbey Ave Apt A101, Oak Harbor, WA 98277-2150 | 2015-07-20 |
1073885166 | John Carlson | Chiropractor | 10260 Sw Greenburg Rd Ste 414, Tigard, OR 97223-5500 | 2012-02-03 |
1144591850 | John Erik Carlson | Specialist/Technologist | 4221 Hilltop Rd, Harrisonburg, VA 22801-2321 | 2012-01-26 |
1760620157 | John Carlson | Massage Therapist | 2409 Lyndale Ave S, Minneapolis, MN 55405-3357 | 2009-01-23 |
1760693956 | John Steven Carlson | Psychologist | 601 Abbott Rd, Suite 101, East Lansing, MI 48823-3366 | 2007-05-27 |
1467542241 | John D Carlson | Optometrist | 2170 Highway 51 S Ste 6, Hernando, MS 38632-1108 | 2006-10-13 |
1497773253 | John David Carlson | Chiropractor | 6905 W Gate Blvd Ste A, Austin, TX 78745-5141 | 2006-07-18 |
1932131596 | John Dale Carlson | Specialist | 492 N Wilson St, Crestview, FL 32536-3442 | 2006-07-06 |
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 |
Street Address |
9764 COUNTRY CREEK WAY |
City | DAYTON |
State | OH |
Zip Code | 45458-9242 |
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 Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
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 |
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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.