JESSICA R CARLSON (NPI# 1487940318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487940318 |
| Entity Type | Individual |
| Full Name | JESSICA R CARLSON |
| Credential | M.D. |
| Practice Address |
94220 4th St Gold Beach OR 97444-7756 |
| Practice Telephone | 5412473910 |
| Practice Fax Number | 5412473109 |
| Mailing Telephone | 5412473000 |
| Mailing Fax Number | 5412473104 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD176604 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CURRY GENERAL HOSPITAL NPI | 1487696985 | 01 |
| OR | 500706467 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386959153 | Jessica Lynne Carlson | Occupational Therapist | 475 E Waterfront Dr, Homestead, PA 15120-1144 | 2010-08-17 |
| 1942533146 | Jessica C Carlson | Counselor | 75 Central Ave, Lewiston, ME 04240-6031 | 2009-09-08 |
| 1811199649 | Jessica Ann Carlson | Counselor | 1073 Willa Springs Dr, Suite 1041, Winter Springs, FL 32708-6623 | 2007-06-04 |
| 1558330852 | Jessica Lorraine Carlson | Internal Medicine | 920 East 28th Street Suite # 190, Minneapolis, MN 55407 | 2006-03-17 |
| 1255893459 | Jessica Carlson | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2019-04-05 |
| 1861910457 | Jessica Carlson | Nurse Anesthetist, Certified Registered | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2017-09-02 |
| 1700123213 | Jessica Carlson | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2013-01-04 |
| 1659615086 | Jessica Ann Carlson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2012-11-26 |
| 1043563638 | Jessica T Carlson | Nurse Practitioner | 19343 Sunshine Ave, Covington, LA 70433-8834 | 2012-10-19 |
| 1265685432 | Jessica A. Carlson | Family Medicine | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2008-10-31 |
| Street Address |
94220 4TH ST |
| City | GOLD BEACH |
| State | OR |
| Zip Code | 97444-7756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950312 | Richard Battey | Obstetrics & Gynecology | 94220 4th St, Gold Beach, OR 97444-7756 | 2005-05-24 |
| 1942846423 | Jane M Doroff | Dietitian, Registered | 94220 4th St, Gold Beach, OR 97444-7756 | 2019-11-20 |
| 1912473349 | Madison Rose Yarno | Dietitian, Registered | 94220 4th St, Gold Beach, OR 97744 | 2018-10-24 |
| 1861902397 | Timothy Gamble | Physical Therapy Assistant | 94220 4th St, Gold Beach, OR 97444-7756 | 2017-10-11 |
| 1558814327 | Metasequoia Emergency Physicians, LLC | Physician Assistant | 94220 4th St, Gold Beach, OR 97444-7756 | 2016-07-28 |
| 1194184143 | Ati Urban Yates Md Facp PC | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2016-02-18 |
| 1740658236 | Emily Whaley | Speech-Language Pathologist | 94220 4th St, Gold Beach, OR 97444-7756 | 2015-09-14 |
| 1558778365 | Laine J Murphey Md PC | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2014-07-14 |
| 1710307046 | Paul B Bascom Md LLC | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2014-04-25 |
| 1720407463 | Paul B Bascom Md | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2014-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460227 | Curry Health District | Clinic/Center | 94125 Fourth Street, Gold Beach, OR 97444 | 2018-06-08 |
| 1427553692 | Columbiacare Services | Clinic/Center | 29415 Russell St, Gold Beach, OR 97444 | 2018-03-28 |
| 1972951630 | Kay Minkler | Case Manager/Care Coordinator | 29836 Mary Street, Gold Beach, OR 97444 | 2016-06-02 |
| 1811305717 | Mary Chambers | Counselor | 29821 Colvin St., Gold Beach, OR 97444 | 2014-07-24 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1548600208 | Stephanie Ann Laudert | Family Medicine | Curry Medical Practice, 94220 4th Street, Gold Beach, OR 97444 | 2013-06-26 |
| 1982944047 | Marta Maya Druzdzel | Massage Therapist | 29740 Ellensburg Ave, Gold Beach, OR 97444 | 2013-02-26 |
| 1598035347 | Curry County Health Department | Public Health or Welfare | 94235 Moore St., Gold Beach, OR 97444 | 2012-01-11 |
| 1013296920 | Merna Peterson | Counselor | 29821 Colvin, Gold Beach, OR 97444 | 2011-08-09 |
| 1609050129 | County of Curry | Home Health | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2007-12-19 |
| Find all providers in zip 97444 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699960310 | Luther E Ward | Surgery | 94244 Fourth Street, Gold Beach, OR 97444-7756 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168029 | Northwest Minimally Invasive Surgery, LLC | Surgery | 2222 Nw Lovejoy St Ste 322, Portland, OR 97210-5101 | 2017-08-02 |
| 1366897399 | Andreas Hennig | Surgery | 783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755 | 2016-04-27 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1972983781 | Horizon Surgery Clinic | Surgery | 6542 Se Lake Rd Ste 101, Milwaukie, OR 97222-2245 | 2015-06-05 |
| 1871989467 | Cameron Cangelose | Surgery | 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239-3098 | 2015-04-09 |
| 1396157962 | Fernando Leon | Surgery | 2221 Sw First Ave Apt 2322, Portland, OR 97201-5023 | 2014-05-29 |
| 1114337466 | Thomas B Knowles | Surgery | 1130 Nw 22nd Ave Ste 500, Portland, OR 97210-2976 | 2014-05-07 |
| 1861811770 | Peter Andrew Sweeny | Surgery | 705 Elm St Sw Ste 300, Albany, OR 97321-1958 | 2014-04-08 |
| 1811310063 | George Craig Merhoff Sr. | Surgery | 6090 Sunset Ridge Rd, Klamath Falls, OR 97601-9386 | 2014-01-23 |
| 1659714160 | Sean Tyler Watters | Surgery | 5050 Ne Hoyt St Ste 651, Portland, OR 97213 | 2013-04-15 |
| Find all providers with the same taxonomy | ||||
| City | GOLD BEACH |
| Zip Code | 97444 |
Please comment or provide details below to improve the information on JESSICA R CARLSON.
| 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.