MR. KARL J CARLSON (NPI# 1528064557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528064557 |
| Entity Type | Individual |
| Full Name | MR. KARL J CARLSON |
| Credential | CRNA |
| Practice Address |
600 Pleasant Ave S Park Rapids MN 56470-1431 |
| Mailing Address |
Po Box 432 Park Rapids MN 56470-0432 |
| Practice Telephone | 2187329464 |
| Practice Fax Number | 2187320249 |
| Mailing Telephone | 2187329464 |
| Mailing Fax Number | 2187320249 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R1455586 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS PROVIDER # | 359T6CA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497711717 | Karl C Carlson Jr. | Durable Medical Equipment & Medical Supplies | 725 Hamilton Street, Suite D, Roanoke Rapids, NC 27870-2746 | 2006-04-25 |
| Street Address |
600 PLEASANT AVE S |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185067 | Donald J Gytri | Nurse Anesthetist, Certified Registered | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2005-06-22 |
| 1033734207 | Dancia Rebecca Martens | Physician Assistant | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2020-06-12 |
| 1821572363 | Kelsey Goraczkowski | Physical Therapist | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2018-09-20 |
| 1427532902 | Aron Goraczkowski | Physical Therapist | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2018-09-20 |
| 1225512916 | Heather Mitchell | Physical Therapist | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2018-09-19 |
| 1952800369 | Jessie Ramona Clark | Speech-Language Pathologist | 600 Pleasant Ave S, Park Rapids, MN 56470 | 2018-02-12 |
| 1760922793 | Chelsea Tufts | Dietitian, Registered | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2017-02-23 |
| 1013460864 | St Josephs Area Health Services | Clinic/Center | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2016-07-28 |
| 1225425432 | Matthew Spanier | Emergency Medicine | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2015-04-26 |
| 1124376512 | Melissa Beth Lindow | Physical Therapy Assistant | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1174091904 | Amanda Marie Slaikeu | Physical Therapist | 705 Pleasant Avenue South, Park Rapids, MN 56470 | 2018-11-09 |
| 1184965261 | Hubbard County Sheriff's Office | Secured Medical Transport (VAN) | 203 Court Ave, Park Rapids, MN 56470 | 2013-03-14 |
| 1134481666 | Michelle Lynn Rice | Physical Therapy Assistant | 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1629330279 | Lois G. Mcclatchie | Physical Therapist | 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1891966479 | Jay C Jorgenson Dds Pa | Dentist | 406 Pleasant Ave, Park Rapids, MN 56470 | 2008-03-21 |
| 1629250063 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 | 2007-11-28 |
| Find all providers in zip 56470 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1730185067 | Donald J Gytri | Nurse Anesthetist, Certified Registered | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2005-06-22 |
| 1407852601 | Anthony J Yerkes | Nurse Anesthetist, Certified Registered | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2005-06-22 |
| 1285630525 | Burton P Fosse Jr. | Nurse Anesthetist, Certified Registered | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2005-06-22 |
| 1881690006 | Anesthesia Care Team, P.a. | Nurse Anesthetist, Certified Registered | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241364 | Jl Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 | 2020-09-23 |
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1699306100 | Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot | Nurse Anesthetist, Certified Registered | 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 | 2020-02-03 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
| 1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
| 1154814580 | Ams Minn Pllc | Nurse Anesthetist, Certified Registered | 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 | 2018-06-11 |
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| City | PARK RAPIDS |
| Zip Code | 56470 |
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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.