Ryan Carlson (NPI# 1477035459, PAC ID# 5698026722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1477035459 |
| PAC ID by PECOS | 5698026722 |
| Professional Enrollment ID | I20180928000330 |
| Full Name | Ryan Carlson |
| Address |
103 Sw Winsted Ln Suite 25 Bentonville AR 72713-6203 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 103 Sw Winsted Ln, Suite 25, Bentonville, AR 72713-6203 |
| Street Address |
103 SW WINSTED LN SUITE 25 |
| City | BENTONVILLE |
| State | AR |
| Zip | 72713-6203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raja Sekhar Dondeti | Family Medicine | Mercy Health Northwest Arkansas Communities | 4100 Sw I St, 100 Mercy Clinic Pediatrics I Street, Bentonville, AR 72713-0200 |
| Shawn L Brummett | Family Medicine | Mercy Health Northwest Arkansas Communities | 4100 Sw I St, 200 Mercy Clinic Primary Care I Street, Bentonville, AR 72713-0200 |
| City | BENTONVILLE |
| Zip Code | 72713 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BENTONVILLE + CHIROPRACTIC |
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| 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.