STEPHEN JAMES CARLSON (NPI# 1699743518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699743518 |
| Entity Type | Individual |
| Full Name | STEPHEN JAMES CARLSON |
| Credential | MD |
| Practice Address |
7950 N Shadeland Avenue Suite 350 Indianapolis IN 46250 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3175782600 |
| Practice Fax Number | 3175786474 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01049970A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE PTAN | P01170501 | 01 |
| IN | 200072620 | 05 | |
| IN | 200072620A | 05 | |
| IN | ANTHEM | 000000793461 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245669688 | Stephen Carlson | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-11-06 |
| 1346473451 | Stephen Bradfield Carlson | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2009-08-24 |
| 1174758569 | Stephen Haynes Carlson | Psychologist | 298 Grand Ave, #100, Oakland, CA 94610-4724 | 2009-05-28 |
| 1528181245 | Stephen John Carlson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-09 |
| 1033229612 | Stephen Carlson | Family Medicine | 2655 Cty Hwy I, Chippewa Fls, WI 54729 | 2006-08-30 |
| 1689680530 | Stephen Carlson | Anesthesiology | 911 W 5th Ave, Spokane, WA 99204-2901 | 2006-07-31 |
| 1902824923 | Stephen R Carlson | Pathology | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2006-07-17 |
| 1972531291 | Stephen Ray Carlson | Family Medicine | 4212 Grand Ave, Duluth, MN 55807-2737 | 2006-06-28 |
| 1144211608 | Stephen E Carlson | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2005-11-03 |
| 1023009883 | Stephen Douglas Carlson | Anesthesiology | 515 Main St, Olean, NY 14760-1513 | 2005-11-02 |
| Street Address |
7950 N SHADELAND AVENUE SUITE 350 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1265773113 | Michael Sai Lai Sey | Internal Medicine | 550 N. University Blvd, Suite 4100, Indiana University Hospital, Indianapolis, IN 46202 | 2013-03-01 |
| 1649531062 | Kavish Rohit Patidar | Internal Medicine | 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 | 2012-06-01 |
| 1033442991 | Dana Charles Moffatt | Internal Medicine | 359 N West St, Apt 284, Indianapolis, IN 46202-4207 | 2009-09-10 |
| 1710181292 | Christen K Dilly | Internal Medicine | 1050 Wishard Blvd Ste Rg4100, Indianapolis, IN 46202-2872 | 2007-06-11 |
| 1699982579 | Joseph A Katz | Internal Medicine | 1400 N Ritter Ave Ste 210, Indianapolis, IN 46219-3046 | 2007-05-17 |
| 1154540474 | Kashif Ahmed | Internal Medicine | 1801 N Senate Blvd Ste 400, Indianapolis, IN 46202-1245 | 2007-04-25 |
| 1033237177 | Haritha Avula | Internal Medicine | 4100 University Blvd, Indianapolis, IN 46202 | 2007-03-27 |
| 1629045042 | Eldred Hugh Macdonell Jr. | Internal Medicine | 1400 N. Ritter Ave., Suite 370, Indianapolis, IN 46219-3098 | 2006-03-03 |
| 1982671384 | David Lowry Bash | Internal Medicine | 1400 N Ritter Avenue, Suite 370, Indianapolis, IN 46219 | 2006-03-03 |
| 1972596906 | John M Wo | Internal Medicine | 1050 Wishard Blvd Ste 4100, Indianapolis, IN 46202-2872 | 2005-08-24 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on STEPHEN JAMES 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.