DR. DIANA JOLYNN CARLSON (NPI# 1689825564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689825564 |
| Entity Type | Individual |
| Full Name | DR. DIANA JOLYNN CARLSON |
| Credential | D.O. |
| Practice Address |
100 N Pond Dr Suite C Walled Lake MI 48390-3079 |
| Practice Telephone | 2486242222 |
| Practice Fax Number | 2489269455 |
| Mailing Telephone | 2486242222 |
| Mailing Fax Number | 2489269455 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2014-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101017651 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558307843 | Diana Gouveia Carlson | Social Worker | 21 Glen Ave, Suite 3, Chelmsford, MA 01824-2858 | 2006-06-22 |
| 1023441920 | Diana Carlson | Counselor | 4804 Lacey Blvd Se Ste A, Lacey, WA 98503-5733 | 2013-08-14 |
| Street Address |
100 N POND DR SUITE C |
| City | WALLED LAKE |
| State | MI |
| Zip Code | 48390-3079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790663 | Jeet N Pillay | Internal Medicine | 100 N Pond Dr, Ste C, Walled Lake, MI 48390-3079 | 2005-06-16 |
| 1114344009 | Connie Asher | Social Worker | 100 N Pond Dr, Suite A, Walled Lake, MI 48390-3079 | 2014-03-28 |
| 1528155264 | Oakland Pediatrics, Plc | Pediatrics | 100 N Pond Dr, Suite E, Walled Lake, MI 48390-3079 | 2006-10-06 |
| 1003800269 | Pillay Internal Medicine Associates, Pllc | Clinic/Center | 100 N Pond Dr, Suite C, Walled Lake, MI 48390-3079 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820913 | Elizabeth Ann Manela | Speech-Language Pathologist | 2075 East West Maple Road, Suite B203, Walled Lake, MI 48390 | 2020-08-05 |
| 1205459674 | Allor Outdoor Services LLC | Chore Provider | 3225 E Oakley Park Rd, Commerce Twp, MI 48390 | 2020-05-20 |
| 1467004382 | Convenient Cm PC | Dentist | 2655 Oakley Park Rd, Suite 101, Commerce Twp, MI 48390 | 2019-07-11 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1255858296 | Finn Family Chiropractic Pllc | Chiropractor | 2344 South Commerce Road, Walled Lake, MI 48390 | 2017-08-29 |
| 1588012629 | Shane Macphee | Chiropractor | 2901 Commerce Crossings, Commerce Township, MI 48390 | 2016-05-31 |
| 1245690114 | Lisa Jensen | Nurse Practitioner | 100 West Maple Rd., Walled Lake, MI 48390 | 2016-03-04 |
| 1255725123 | Carissa Karanth | Counselor | 1500 Rustic Lane, Wolverine Lake, MI 48390 | 2015-03-27 |
| 1689095093 | Mabell Omoye Scott | Licensed Vocational Nurse | 724 Owl Court, Wolverine Lake, MI 48390 | 2014-01-02 |
| 1093002230 | Ilze Liene Junkulis-muller | Pharmacist | 495 Haggerty, Traget Pharmacy #0896, Walled Lake, MI 48390 | 2011-07-08 |
| Find all providers in zip 48390 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1902251150 | Toribiong Uchel | Internal Medicine | 440 Old Pine Way, Walled Lake, MI 48390-3546 | 2016-04-25 |
| 1922160993 | David Hugh Mcaree | Internal Medicine | 620 North Pontiac Trail, Walled Lake, MI 48390 | 2006-12-15 |
| 1891790663 | Jeet N Pillay | Internal Medicine | 100 N Pond Dr, Ste C, Walled Lake, MI 48390-3079 | 2005-06-16 |
| 1760845895 | Madiha Salim | Internal Medicine | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2016-04-05 |
| 1619394004 | Mohammad Saleh | Internal Medicine | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2014-03-24 |
| 1902896749 | Gary M Hollander | Internal Medicine | 620 N Pontiac Trl, Walled Lake, MI 48390-3443 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
| 1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
| 1568074375 | Mohammad Nadeemullah Pllc | Internal Medicine | 5400 Waldenhill Ct, Superior Twp, MI 48198-9654 | 2020-08-21 |
| 1356953723 | Eager Internal Medicine, Pllc | Internal Medicine | 720 N Lapeer Rd Ste 101, Lake Orion, MI 48362-4011 | 2020-08-18 |
| 1144838335 | Ranim Chamseddin | Internal Medicine | 3200 Five Points Dr Unit 110, Auburn Hills, MI 48326-2372 | 2020-07-14 |
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | WALLED LAKE |
| Zip Code | 48390 |
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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.