DUANE G CARLSON (NPI# 1417032798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417032798 |
| Entity Type | Individual |
| Full Name | DUANE G CARLSON |
| Credential | MD |
| Practice Address |
4011 Talbot Road South Suite 500 Renton WA 98055 |
| Mailing Address |
Po Box 59028 Renton WA 98058-2028 |
| Practice Telephone | 4252515110 |
| Practice Fax Number | 4257937380 |
| Mailing Telephone | 4252515110 |
| Mailing Fax Number | 4257937458 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD00015320 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1050517 | 05 | |
| WA | RR MEDICARE | 110055154 | 01 |
| WA | L&I | 0057610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114204724 | Duane M Carlson | Counselor | 375 Orleans St E, Stillwater, MN 55082-5830 | 2011-11-10 |
| Street Address |
4011 TALBOT ROAD SOUTH SUITE 500 |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332700 | Anna L Lien | Registered Nurse | 4011 Talbot Road South, Suite 500, Renton, WA 98055-5791 | 2006-01-27 |
| 1043368426 | Southlake Clinic Inc Ps | Clinic/Center | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2007-01-08 |
| 1962587311 | Michael Martin | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1447335401 | Rajib Choudhury | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1376628354 | Terence A Block | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1326122268 | George L Dolack | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-25 |
| 1275618720 | John W Nemanich | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-25 |
| 1245312420 | Christopher A Dire | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| 1750463758 | William A Pearce | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| 1952483943 | Frank J Thomas Jr. | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1619124104 | Hyon Chong Kim | Internal Medicine | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 | 2008-08-26 |
| 1073795597 | Roy D Yen | Internal Medicine | 4011 Talbot Rd S, Ste 500, Renton, WA 98055-5773 | 2007-11-27 |
| 1093897092 | Daniel P O'neill | Internal Medicine | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5773 | 2006-10-19 |
| 1245312420 | Christopher A Dire | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| 1750463758 | William A Pearce | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| 1952483943 | Frank J Thomas Jr. | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1407238173 | South Perry Endoscopy Pllc | Internal Medicine | 907 South Perry Street Suite 203, Spokane, WA 99202 | 2015-06-18 |
| 1316351430 | Mohammed M. Aboelsoud | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226-7264 | 2014-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1770833857 | Jonathan Alan Levant | Internal Medicine | 3201 Pacific Ave, Unit 1108, Tacoma, WA 98418-6907 | 2012-09-15 |
| 1841572724 | Kenneth Bruce Klein | Internal Medicine | 7470 Ne Manual Rd, Bainbridge Island, WA 98110-3032 | 2011-09-15 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1609163294 | Patrick John Laing | Internal Medicine | 301 W Poplar St Ste 210, Walla Walla, WA 99362-2800 | 2011-07-01 |
| 1194018366 | Hamid Habibi | Internal Medicine | 105 W 8th Ave Ste 6010, Spokane, WA 99204 | 2011-05-20 |
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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.