DR. JEFFREY JERAL CARLSON (NPI# 1538133095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538133095 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY JERAL CARLSON |
| Credential | MD |
| Practice Address |
11911 Linden Walk Lane Pearland TX 77584-3961 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M6557 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.094282 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831880 | Jeffrey Kay Carlson | Obstetrics & Gynecology | 156 Ramon Way Ne, St Petersburg, FL 33704-3852 | 2005-06-20 |
| 1750642849 | Jeffrey Brian Carlson | Internal Medicine | 114 Mission Ranch Blvd, Ste 10, Chico, CA 95926-5137 | 2012-06-05 |
| 1841570165 | Jeffrey Paul Carlson | Marriage & Family Therapist | 16700 Valley View Ave, Suite # 210, La Mirada, CA 90638-5830 | 2011-08-17 |
| 1609027689 | Jeffrey Lynn Carlson | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2008-10-08 |
| 1952430159 | Jeffrey John Carlson | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-03-05 |
| 1518029347 | Jeffrey R Carlson | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606-2899 | 2006-12-15 |
| 1225196561 | Jeffrey Mark Carlson | Dentist | 726 E Grand Ave, Ste A, Escondido, CA 92025 | 2006-12-05 |
| 1003987132 | Jeffrey James Carlson | Specialist/Technologist | 2104 Northdale Blvd Nw, Suite 100, Coon Rapids, MN 55433-3005 | 2006-11-12 |
| 1881779346 | Jeffrey F Carlson | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2006-10-25 |
| 1093896813 | Jeffrey Charles Carlson | Physical Therapist | 1208b Vfw Pkwy, Suite 202, West Roxbury, MA 02132-4349 | 2006-10-18 |
| Street Address |
11911 LINDEN WALK LANE |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942557459 | Guillermina Elfrides Traipe | Radiology | 3003 Newbrook Dr, Pearland, TX 77584-7179 | 2012-08-14 |
| 1306212345 | Rose Imaging Specialists, Pa | Radiology | 10223 Broadway Street, Suite E, Pearland, TX 77584 | 2015-08-13 |
| 1215922786 | Divyang C Ayar | Radiology | 8619 Broadway St, Ste 105, Pearland, TX 77584-8495 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
| 1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
| 1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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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.