GREGORY CARLSON


Address: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533
Phone: 7193656487

GREGORY CARLSON (NPI# 1073590972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073590972
Entity Type Individual
Full Name GREGORY CARLSON
Credential M.D.
Practice Address 1400 E Boulder St
Suite 600
Colorado Springs
CO 80909-5533
Practice Telephone 7193656487
Practice Fax Number 7193646488
Mailing Telephone 7193656487
Mailing Fax Number 7193646488
Enumeration Date 2005-12-30
Last Update Date 2020-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery DR.0042262 CO Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
DR.0042262 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 46032240 05

Other Providers GREGORY CARLSON

NPI Name Taxonomy Address Enumeration
1184889990 Gregory Mark Carlson Dentist 2955 Ocean Street, Apt 17, Carlsbad, CA 92008 2008-07-21
1740822576 Gregory Scott Carlson Nurse Practitioner 1920 E State Highway 114, Southlake, TX 76092-6510 2019-10-14
1609253632 Gregory Burton Carlson Student in an Organized Health Care Education/Training Program 750 E Adams St, Syracuse, NY 13210-2306 2015-04-28
1629212022 Gregory C Carlson Dentist 129 S Roselle Rd, Schaumburg, IL 60193-5540 2009-04-29
1760601744 Gregory Don Carlson Case Manager/Care Coordinator 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2007-04-25
1386694438 Gregory B Carlson Family Medicine 5012 S Us Highway 75, Suite 300, Denison, TX 75020-4587 2006-05-11
1215924329 Gregory D. Carlson Orthopaedic Surgery 1120 W. La Veta Avenue, Suite 300, Orange, CA 92868-4246 2005-10-04

Office Location

Street Address 1400 E BOULDER ST
SUITE 600
City COLORADO SPRINGS
State CO
Zip Code 80909-5533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363705 Pikes Peak Cardiology A Professional LLP Specialist 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 2005-06-01
1154921906 Pikes Peak Nephrology Associates PC Internal Medicine 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-30
1376143297 Fabienne Sophie Haas Student in an Organized Health Care Education/Training Program 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-29
1255930004 Poudre Valley Medical Group, LLC Social Worker 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-22
1497353247 Stander Neurology Inc. General Acute Care Hospital 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-14
1497378343 Ashley Marie Griffin Nurse Practitioner 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-27
1831711944 Poudre Valley Medical Group, LLC Obstetrics & Gynecology 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-12
1033731120 Poudre Valley Medical Group, LLC General Practice 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-12
1548882756 Jolene Kendall Pharmacist 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-11
1932720471 Margaret Porter Occupational Therapist 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376173765 Ascent Health LLC Community/Behavioral Health 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 2020-01-24
1639714041 Peak Vista Community Health Centers Clinic/Center 4041 E San Miguel St, Colorado Springs, CO 80909 2019-11-08
1437706231 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 445 N Circle Drive, Colorado Springs, CO 80909 2019-08-26
1760952964 James Garofalo Counselor 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 2018-11-29
1144719055 Autumn Leaves Counseling, LLC Counselor 2130 Academy Circle, Suite B, Co Springs, CO 80909 2018-05-07
1407353642 Ambulnz Co, LLC Ambulance 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 2018-04-12
1083117998 Peak Wellness Counseling Service, LLC Counselor 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 2018-03-16
1043740822 Ande Carol West Dental Hygienist 701 Citadel Drive East, Colorado Springs, CO 80909 2017-06-14
1043748791 Colorado Springs Pharmacy LLC Pharmacy 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 2017-05-25
1215484365 Brittney Nicole Roberts Physical Therapist 2201 Lelaray St., Colorado Springs, CO 80909 2016-09-07
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275896508 Dmitriy Rybitskiy Surgery 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907-6865 2012-06-21
1124008032 Joseph Thomas Crepps Jr. Surgery 3220 Orion Dr, Colorado Springs, CO 80906-0920 2006-01-18
1730794819 Poudre Valley Medical Group, LLC Surgery 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920-7836 2020-09-15
1477168557 Poudre Valley Medical Group, LLC Surgery 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2020-09-15
1316986060 John Miller Conn Sr. Surgery 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6819 2006-06-06
1700839248 Parkside Ct Group LLC Surgery 215 Parkside Dr, Colorado Springs, CO 80910-3135 2006-05-18
1730130337 Laura C Kissell Surgery 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2006-05-16
1073593901 Colorado Springs Vascular, P.C. Surgery 175 S Union Blvd, Suite 320, Colorado Springs, CO 80910-3113 2006-01-18
1427038330 Scott Newton Hurlbert Surgery 1400 E Boulder St, Ste 600, Colorado Springs, CO 80909-5533 2006-01-18
1295715225 Karl Paul Dittrich Surgery 175 S Union Blvd, Suite 320, Colorado Springs, CO 80910-3113 2006-01-17
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Competitor

Search similar providers

City COLORADO SPRINGS
Zip Code 80909

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Dataset Information

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.

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