DR. GEORGE CARLSON


Address: 645 Laniolu Pl, Kihei, HI 96753-9343
Phone: 8088796121

DR. GEORGE CARLSON (NPI# 1598967119) 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) 1598967119
Entity Type Individual
Full Name DR. GEORGE CARLSON
Credential MD
Practice Address 645 Laniolu Pl
Kihei
HI 96753-9343
Mailing Address Po Box 888
Wailuku
HI 96793-0888
Practice Telephone 8088796121
Practice Fax Number 8088790500
Mailing Telephone 8088798716
Mailing Fax Number 8088790500
Enumeration Date 2007-06-05
Last Update Date 2012-07-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LA0401X Anesthesiology
Specialization: Addiction Medicine
MD3884 HI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
HI Y051675 05

Other Providers GEORGE CARLSON

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1942477906 George Augest Carlson Technician 27885 170th Ave Sw, Crookston, MN 56716-9444 2008-05-09

Office Location

Street Address 645 LANIOLU PL
City KIHEI
State HI
Zip Code 96753-9343

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1356830772 Marc Kross Md Inc Surgery 30 E Lipoa St Unit 4108, Kihei, HI 96753 2018-05-02
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1912312364 Lara Harvey Marriage & Family Therapist 1325 South Kihei Road, Suite 226b, Kihei, HI 96753 2014-06-24
1851735807 Jeffrey Charles Olson Dentist 161 Wailea Ike Dr, Ste B104, Wailea, HI 96753 2013-04-22
1699016097 Sky Lillian Sarah Connelly Midwife 484 Hoala Dr, Kihei, HI 96753 2013-03-09
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Taxonomy Information

Taxonomy Code 207LA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Addiction Medicine

Taxonomy Definition

An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology.

Competitor

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City KIHEI
Zip Code 96753

Improve Information

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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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