CHRISTOPHER LANCE CARLSON (NPI# 1316168966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316168966 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER LANCE CARLSON |
| Credential | M.D. |
| Practice Address |
100 N Clayview Dr Liberty MO 64068-1115 |
| Mailing Address |
7319 N Nevada Ave Parkville MO 64152-1191 |
| Practice Telephone | 8167819222 |
| Mailing Telephone | 6363464619 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 04-34384 | KS | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 2010010433 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MO MEDICARE | R86000039 | 01 |
| MO | 1316168966 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617801 | Christopher M Carlson | Rehabilitation Practitioner | 330 E. Live Oak Ave., Arcadia, CA 91006 | 2008-12-01 |
| 1427061902 | Christopher Ryan Carlson | Physical Therapist | 75-5699 Kopiko St, Kailua Kona, HI 96740-3651 | 2006-08-14 |
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1144220526 | Christopher R Carlson | Physician Assistant | 4824 E Baseline Rd, Suite 113, Mesa, AZ 85206-4676 | 2005-07-28 |
| 1417457706 | Christopher Lee Carlson | Behavior Technician | 8555 Aero Dr Ste 201, San Diego, CA 92123-1745 | 2018-02-13 |
| 1427419654 | Christopher S Carlson | Dentist | 1959 Ne Pacific Street; Box 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195 | 2016-03-16 |
| 1043684822 | Christopher Carlson | Nurse Practitioner | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2015-11-17 |
| 1124411269 | Christopher Carlson | Physician Assistant | 601 Elmwood Ave, 619-hmd, Rochester, NY 14642-0001 | 2015-03-13 |
| 1053613174 | Christopher Kenneth Carlson | Student in an Organized Health Care Education/Training Program | 30 S 2000 E, Salt Lake City, UT 84112-5820 | 2010-11-22 |
| 1093964892 | Christopher Carlson | Social Worker | 152 Lynnway Ste 2c, Lynn, MA 01902 | 2008-09-17 |
| Street Address |
100 N CLAYVIEW DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598879512 | Northland Eye Surgery Center, LLC | Clinic/Center | 100 N Clayview Dr, Suite A, Liberty, MO 64068-1117 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| 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 |
|---|---|---|---|---|
| 1255387544 | Trinity Mckenzie | Emergency Medicine | 1410 Main Street East, Liberty, MS 39645-0514 | 2006-05-26 |
| 1861465221 | David J. Ochs | Emergency Medicine | 1177 W Kansas St, Liberty, MO 64068-2281 | 2006-02-08 |
| 1336646736 | Liberty Hospital Emergency Medicine Physicians, LLC | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2018-04-11 |
| 1790171627 | Kathryn Marie Ottman | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068 | 2015-04-07 |
| 1225424153 | Nicholas Warren | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068 | 2015-04-07 |
| 1295128247 | Ess of South Texas LLC | Emergency Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-03-16 |
| 1215256375 | Robert F Frobenius IIi | Emergency Medicine | 2525 Glenn Hendren Dr, Emergency Department, Liberty, MO 64068-9625 | 2010-05-27 |
| 1588827422 | Daniel R Hagen | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2008-07-09 |
| 1104962158 | Kathryn Anne Carmichael Coulson | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2007-01-29 |
| 1881695922 | Stephanie L Davis | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-08-10 |
| Find all providers in LIBERTY | ||||
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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.