Mark E Carlson (NPI# 1790741049, PAC ID# 0749355154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1790741049 |
| PAC ID by PECOS | 0749355154 |
| Professional Enrollment ID | I20080820000189 |
| Full Name | Mark E Carlson |
| Organization Legal Name | CARLSON ORTHOPEDIC CLINIC SC |
| Address |
1848 Daimler Rd Suite 1 Rockford IL 61112-1019 |
| Phone Number | 8153989100 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6901971316 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1848 Daimler Rd, Suite 1, Rockford, IL 61112-1019 | 8153989100 | CARLSON ORTHOPEDIC CLINIC SC |
| Organization Legal Name | CARLSON ORTHOPEDIC CLINIC SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Magoon | Physician Assistant | Carlson Orthopedic Clinic Sc | 1848 Daimler Rd, Rockford, IL 61112-1019 |
| Street Address |
1848 DAIMLER RD SUITE 1 |
| City | ROCKFORD |
| State | IL |
| Zip | 61112-1019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Magoon | Physician Assistant | Carlson Orthopedic Clinic Sc | 1848 Daimler Rd, Rockford, IL 61112-1019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wingyin Hui | Optometry | Facchiano and Associates PC | E265 Cherryvale Mall, Rockford, IL 61112 |
| James C Wooldridge | Optometry | Wooldridge Optometry LLC | 7200 Harrison Ave, E265, Rockford, IL 61112-1017 |
| Glennetta M Coleman | Internal Medicine | 1893 Daimler Rd, Rockford, IL 61112-1081 | |
| Brant D Hulsebus | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| Craig A Stear Jr. | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| Joshua Berven | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| Nathaniel Hays | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| City | ROCKFORD |
| Zip Code | 61112 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ROCKFORD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mark E Carlson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.