Stephen Douglas Carlson (NPI# 1023009883, PAC ID# 6507767340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1023009883 |
| PAC ID by PECOS | 6507767340 |
| Professional Enrollment ID | I20190107000205 |
| Full Name | Stephen Douglas Carlson |
| Organization Legal Name | CHARLES COLE MEMORIAL HOSPITAL |
| Address |
1001 E 2nd St Coudersport PA 16915-8161 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3779487475 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 391313 | CHARLES COLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 E 2nd St, Coudersport, PA 16915-8161 | CHARLES COLE MEMORIAL HOSPITAL | |
| 438 E 2nd St, Upmc Cole Dentistry, Coudersport, PA 16915-9430 | 8142745252 | CHARLES COLE MEMORIAL HOSPITAL |
| Organization Legal Name | CHARLES COLE MEMORIAL HOSPITAL |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mazen Rafic Fouany | Obstetrics/gynecology | Charles Cole Memorial Hospital | 438 E 2nd St, Upmc Cole Dentistry, Coudersport, PA 16915-9430 |
| Aaron J Hill | Internal Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Terrance L Foust | Orthopedic Surgery | Charles Cole Memorial Hospital | 700 S Ave, Bradford, PA 16701-3978 |
| Mandy M Collins | Physician Assistant | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Sharyn Gorby | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Dorothy Sparks | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Saket Prasad | Internal Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Upmc Cole Gastroenterology, Coudersport, PA 16915-8161 |
| Dennis E Kirst | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Andrea Heller | Family Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Bradley Francis Giannotti | Orthopedic Surgery | Charles Cole Memorial Hospital | 700 S Ave, Bradford, PA 16701-3978 |
| Street Address |
1001 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip | 16915-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron J Hill | Internal Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Mandy M Collins | Physician Assistant | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Sharyn Gorby | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Dorothy Sparks | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Saket Prasad | Internal Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Upmc Cole Gastroenterology, Coudersport, PA 16915-8161 |
| Dennis E Kirst | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Andrea Heller | Family Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Brenda M Wahlers | Hospitalist | Charles Cole Memorial Hospital | 1001 E 2nd St, Cole Memorial Clinic Program, Coudersport, PA 16915-8161 |
| Frank William Horn Iii | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Patrick M Browning | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce M Fink | Chiropractic | 301 S Main St, Coudersport, PA 16915-1312 | |
| Bryan Lee Neff | Podiatry | 9 E Maple St, Coudersport, PA 16915-1328 | |
| Arnold G Haskins | Clinical Social Worker | 107 S Main St, Suite 2, Coudersport, PA 16915-1355 | |
| Michael Nowicki | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| John Paul Dresser | Podiatry | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Jeremy R Reed | Otolaryngology | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Orlando Escuadra Cruz | Anesthesiology | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Edward Patrick Lynam | Neuropsychiatry | Charles Cole Memorial Hospital | 1001 E 2nd St, Cole Memorial Clinic Program, Coudersport, PA 16915-8161 |
| Daphne Jeanne Mcnamara | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| David L Kulling | Family Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Find all physicians in zip 16915 | |||
| City | COUDERSPORT |
| Zip Code | 16915 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | COUDERSPORT + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Stephen Douglas 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.