Mark O Carlson (NPI# 1609837368, PAC ID# 4688673908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1609837368 |
PAC ID by PECOS | 4688673908 |
Professional Enrollment ID | I20061215000009 |
Full Name | Mark O Carlson |
Organization Legal Name | SIOUXLAND ADULT MEDICINE, PLLC |
Address |
1605 Douglas St Sioux City IA 51105-1109 |
Phone Number | 7122341005 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1986 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 3173691730 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
160146 | ST LUKES REGIONAL MEDICAL CENTER |
160153 | MERCY MEDICAL CENTER-SIOUX CITY |
Address | Phone | Organization |
---|---|---|
1605 Douglas St, Sioux City, IA 51105-1109 | 7122341005 | SIOUXLAND ADULT MEDICINE, PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_051_overall | Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 95% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
Organization Legal Name | SIOUXLAND ADULT MEDICINE, PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
David H Daniels | Internal Medicine | Siouxland Adult Medicine, Pllc | 1605 Douglas St, Sioux City, IA 51105-1109 |
Street Address |
1605 DOUGLAS ST |
City | SIOUX CITY |
State | IA |
Zip | 51105-1109 |
Name | Specialty | Organization | Address |
---|---|---|---|
David H Daniels | Internal Medicine | Siouxland Adult Medicine, Pllc | 1605 Douglas St, Sioux City, IA 51105-1109 |
Name | Specialty | Organization | Address |
---|---|---|---|
James A Bjork | Chiropractic | 1406 Nebraska St, Sioux City, IA 51105-1237 | |
Bradley Arthur Chicoine | Chiropractic | Dr Bradley A Chicoine PC | 1501 Nebraska St, Sioux City, IA 51105-1240 |
Jennifer Chicoine | Chiropractic | Dr Bradley A Chicoine PC | 1501 Nebraska St, Sioux City, IA 51105-1240 |
John D Kiernan | Optometry | 1214 Pierce St, Sioux City, IA 51105-1417 | |
Danielle Jessica Hay | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Kevin W Hamburger | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Jodi L Netley | Nurse Practitioner | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Mary T Schneider | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Rena Alekos Kazos | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
William Nolley Vereen Iii | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Find all physicians in zip 51105 |
City | SIOUX CITY |
Zip Code | 51105 |
Specialty | INTERNAL MEDICINE |
City + Specialty | SIOUX CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark O 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.