DR. NATHAN CARLSON (NPI# 1639389653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639389653 |
| Entity Type | Individual |
| Full Name | DR. NATHAN CARLSON |
| Credential | MD |
| Practice Address |
9200 W Wisconsin Ave Milwaukee WI 53226-3522 |
| Practice Telephone | 4148058623 |
| Practice Fax Number | 4148058641 |
| Mailing Telephone | 4148058623 |
| Mailing Fax Number | 4148058641 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 24030 | NE | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
71945 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 W Hospital Rd, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 309055741 | 7067872720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891910535 | Nathan P Carlson | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1144212929 | Nathan David Carlson | Family Medicine | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2005-08-18 |
| 1548661176 | Nathan Carlson | Dentist | 1007 Calimesa Blvd, Ste C, Calimesa, CA 92320-1131 | 2014-09-15 |
| 1114363884 | Nathan Lee Carlson | Military Health Care Provider | 1050 Jabarrah Ave, Goldsboro, NC 27531-2310 | 2013-05-21 |
| 1528225836 | Nathan Howard Carlson | Physical Therapist | 126 Missouri Ave, Mcxp - Ccs - Cr, Fort Leonard Wood, MO 65473-8952 | 2008-05-22 |
| 1295933612 | Nathan Elliot Carlson | Dentist | 3156 Kensington Ave, Philadelphia, PA 19134-2400 | 2007-07-06 |
| Street Address |
9200 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
| 1013518182 | Shelby Koppinger | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1083215065 | Jennifer Lynn Scheffler | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1306445952 | Elyan Carolina Ruiz Solano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-23 |
| 1972101467 | Sarah Emily Ziem | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-15 |
| 1912504242 | Matthew Resop | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-09 |
| 1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
| 1134726227 | Joseph Beiler | Registered Nurse | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-02 |
| 1316553845 | Nathan Duncan | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-21 |
| 1043826035 | Emily Mell | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930867 | Patrick Murphy | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-07-30 |
| 1891038394 | Joshua Simon Pearl | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-04-03 |
| 1780993386 | Adam Lee Goldstein | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-09-29 |
| 1205061579 | Rachel Sarah Morris | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2009-05-15 |
| 1669650826 | Jeremy Scott Juern | Surgery | 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 | 2008-02-08 |
| 1376577460 | Robert L. Coscia | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2006-07-11 |
| 1760434062 | Travis P Webb | Surgery | 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| 1073565388 | John A Weigelt | Surgery | 9200 W Wisconsin Ave, Trauma Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034832 | Patrick James Kiefer | Surgery | 4500 Oak Ridge Cir, De Pere, WI 54115-9267 | 2006-07-14 |
| 1205271764 | David C Tomich | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2013-05-09 |
| 1700141785 | Lucy Martinek | Surgery | 1000 N Oak Ave, Marshfield, WI 54449 | 2012-07-06 |
| 1417261363 | Douglas Franklin Soltys | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2010-08-03 |
| 1174843478 | Melody R.s. Threlkeld | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2010-06-09 |
| 1558544502 | Charity Annelien Wip | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2007-12-13 |
| 1861498909 | Kendall D Boone | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2005-06-23 |
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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.