MR. ERIC S CARLSON (NPI# 1649220021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649220021 |
| Entity Type | Individual |
| Full Name | MR. ERIC S CARLSON |
| Credential | PA-C |
| Practice Address |
3651 College Blvd Leawood KS 66211 |
| Practice Telephone | 9133197600 |
| Practice Fax Number | 9132531702 |
| Mailing Telephone | 9133197600 |
| Mailing Fax Number | 9132531702 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-00959 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2004029282 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
15-00959 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2004029282 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790130532 | Eric Carlson | Counselor | 20 Space Blvd, Albany, NY 12205-2518 | 2016-04-29 |
| 1962879122 | Eric B Carlson | Marriage & Family Therapist | 4551 Glencoe Ave Ste 255, Marina Del Rey, CA 90292-7924 | 2015-08-24 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1316080062 | Eric Carlson | Chiropractor | 50 W Geneva St, Williams Bay, WI 53191-9518 | 2007-02-14 |
| 1902965890 | Eric Todd Carlson | Dentist | 12725 43rd St Ne Ste 202, Saint Michael, MN 55376-4929 | 2006-12-06 |
| 1497869416 | Eric Arthur Carlson | Dentist | 18550 Firlands Way N, Shoreline, WA 98133 | 2006-08-18 |
| 1235197625 | Eric J Carlson | Ophthalmology | Bosley Medical Group, 1601 Market St, Ste 2410, Philadelphia, PA 19103 | 2006-05-03 |
| 1316941206 | Eric Barnett Carlson | Internal Medicine | 2090 W Arlington Blvd, Ste B, Greenville, NC 27834-5727 | 2005-06-08 |
| 1891261434 | Eric J Carlson | Social Worker | 1401 East 1st Street, Duluth, MN 55805-2407 | 2018-10-22 |
| 1467814202 | Eric Carlson | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2016-03-22 |
| Street Address |
3651 COLLEGE BLVD |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864208 | Cris D Barnthouse | Orthopaedic Surgery | 3651 College Blvd, #100a, Leawood, KS 66211-1904 | 2005-07-07 |
| 1194283457 | Danielle Marie Herman | Registered Nurse | 3651 College Blvd, Leawood, KS 66211-1910 | 2019-03-06 |
| 1619428034 | Katie A Macdonald | Nurse Practitioner | 3651 College Blvd, Leawood, KS 66211-1910 | 2016-10-20 |
| 1275998213 | Kylie A Yuhas | Physician Assistant | 3651 College Blvd, Ste 100b, Leawood, KS 66211-1910 | 2015-12-17 |
| 1780001024 | Annie M Muehlberger | Nurse Practitioner | 3651 College Blvd, Leawood, KS 66211-1910 | 2014-03-25 |
| 1922437813 | Erica Audelo Mcgriff | Physician Assistant | 3651 College Blvd, Suite 100b, Leawood, KS 66211-1910 | 2013-11-01 |
| 1619314085 | Karen W. Cason | Physician Assistant | 3651 College Blvd, Leawood, KS 66211-1910 | 2013-05-25 |
| 1841561750 | James P Halloran | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2012-01-24 |
| 1831475599 | Courtney Rae Iverson | Physician Assistant | 3651 College Blvd, Suite 100b, Leawood, KS 66211-1910 | 2011-10-26 |
| 1659698561 | Nicholas T Ting | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2010-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758705 | David Silkman | Physician Assistant | 2345 W 98th St, Leawood, KS 66206-2331 | 2019-06-13 |
| 1902364912 | Cynthia P Surmaczewicz | Physician Assistant | 7011 W 121st St Ste 106, Leawood, KS 66209-2009 | 2019-03-08 |
| 1679951933 | Carly Dawn Dickens | Physician Assistant | 3651 College Blvd Ste 100b, Leawood, KS 66211-1910 | 2015-05-07 |
| 1265733075 | Virginia Claire Allen | Physician Assistant | 4963 W. 135th St., Leawood, KS 66224 | 2010-11-10 |
| 1184802712 | Crystal Renee Davis | Physician Assistant | 4963 W. 135th St, Leawood, KS 66224 | 2008-02-06 |
| 1578171385 | Hannah Lynn Angell | Physician Assistant | 3651 College Blvd Ste 100b, Leawood, KS 66211-1910 | 2020-07-17 |
| 1023635380 | Carly Cecil | Physician Assistant | 4901 College Blvd, Leawood, KS 66211-1602 | 2020-07-01 |
| 1215491121 | James Hunter Endres | Physician Assistant | 4901 College Blvd, Leawood, KS 66211-1602 | 2019-01-24 |
| 1154891299 | Rachel Hoins | Physician Assistant | 4901 College Blvd, Leawood, KS 66211-1602 | 2018-12-02 |
| 1902322019 | Jared Burns | Physician Assistant | 3651 College Blvd Ste 100a, Leawood, KS 66211-1910 | 2017-08-21 |
| Find all providers in LEAWOOD | ||||
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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.