Ingrid Anne Carlson


Address: 486 Town Plaza Ave, Suite 440, Ponte Vedra, FL 32081-5142

Ingrid Anne Carlson (NPI# 1841270824, PAC ID# 9234175118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1841270824
PAC ID by PECOS 9234175118
Professional Enrollment ID I20120619000045
Full Name Ingrid Anne Carlson
Address 486 Town Plaza Ave
Suite 440
Ponte Vedra
FL 32081-5142
Gender F
Credential MD
Medical School MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year 1998
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100088 BAPTIST MEDICAL CENTER JACKSONVILLE
100117 BAPTIST MEDICAL CENTER BEACHES

Other Locations

Address Phone Organization
486 Town Plaza Ave, Suite 440, Ponte Vedra, FL 32081-5142
486 Town Plaza Ave, Ponte Vedra, FL 32081-5142

Organization Information

Office Location

Street Address 486 TOWN PLAZA AVE
SUITE 440
City PONTE VEDRA
State FL
Zip 32081-5142

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Nataliya A Yakovleva Optometry St Johns Eye Associates Pa 100 Marketside Ave, Suite 305, Ponte Vedra, FL 32081-0582
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Competitor

Search similar physicians

City PONTE VEDRA
Zip Code 32081
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty PONTE VEDRA + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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