DR. CRAIG W CARSON (NPI# 1043288673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043288673 |
| Entity Type | Individual |
| Full Name | DR. CRAIG W CARSON |
| Credential | M.D. |
| Practice Address |
1701 Renaissance Blvd Suite 110 Edmond OK 73013-3084 |
| Practice Telephone | 4058444978 |
| Practice Fax Number | 4058440562 |
| Mailing Telephone | 4058444978 |
| Mailing Fax Number | 4058440562 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
17781 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1701 RENAISSANCE BLVD SUITE 110 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044015 | Rick D Beller | Orthopaedic Surgery | 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013-3084 | 2005-09-20 |
| 1578069407 | Shawna Diane Seelbach | Nurse Practitioner | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2018-03-31 |
| 1700248101 | Emily John | Physician Assistant | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2016-03-24 |
| 1225498603 | Brian Shawn Mccullough | Pharmacist | 1701 Renaissance Blvd, Ste. 120, Edmond, OK 73013-3086 | 2016-02-29 |
| 1023488913 | Sheril Mathew | Clinical Nurse Specialist | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2015-10-05 |
| 1710124391 | Sara Parr | Physician Assistant | 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3086 | 2009-01-19 |
| 1861535908 | Linda Ann Zacharias | Internal Medicine | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2007-02-15 |
| 1609939255 | Jennifer Marie Fay Damitsian | Nurse Practitioner | 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3084 | 2006-12-18 |
| 1174558738 | Sharon P Bolton | Physician Assistant | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3086 | 2006-07-12 |
| 1215905971 | Ana Kumar | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 | 2006-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932142361 | Mark Allen Hulsey | Internal Medicine | 1701 Renaissance Blvd Ste 110, Edmond, OK 73013-3084 | 2006-06-14 |
| 1083827646 | Mcbride Clinic, Inc. | Internal Medicine | 400 N Bryant Ave, Edmond, OK 73034-3208 | 2007-05-08 |
| 1861535908 | Linda Ann Zacharias | Internal Medicine | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2007-02-15 |
| 1215905971 | Ana Kumar | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 | 2006-03-09 |
| 1528036019 | Oklahoma Arthritis Center, P.C. | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3084 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709546 | Mpp Infusion Center of Tulsa, LLC | Internal Medicine | 7307 S Yale Ave # 200, Tulsa, OK 74136-7049 | 2020-01-20 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1720480387 | Phillip J Wright | Internal Medicine | 1409 Harden Ct, Oklahoma City, OK 73118-1055 | 2014-09-25 |
| 1649430810 | Latisha Dawn Heinlen | Internal Medicine | 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399 | 2008-06-11 |
| 1316064876 | Richard Jacob Hess | Internal Medicine | 3109 Lamp Post Ln, Oklahoma City, OK 73120-5618 | 2007-03-22 |
| 1699822379 | Mohammad Faisal Khan | Internal Medicine | 1015 N Shartel Ave, Oklahoma City, OK 73102 | 2007-01-04 |
| 1891886545 | Thomas B. Leahey | Internal Medicine | 2401 N Commerce St Ste C, Ardmore, OK 73401-1311 | 2006-09-27 |
| 1235237728 | Mary Beth Humphrey | Internal Medicine | 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 | 2006-09-20 |
| 1134140924 | Debbie Gladd Foley | Internal Medicine | 6114 E 61st St, Tulsa, OK 74136-2117 | 2006-07-21 |
| 1396760302 | Robert Fremont Howard | Internal Medicine | 1245 S. Utica Ave., 3rd Floor, Tulsa, OK 74104-4214 | 2006-07-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.