DR. JONATHAN DAVID CARLSON (NPI# 1538206644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538206644 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID CARLSON |
| Credential | M.D. |
| Practice Address |
9401 W Thunderbird Rd Suite 180 Peoria AZ 85381 |
| Mailing Address |
5281 N 99th Avenue Suite 100 Glendale AZ 85305-3105 |
| Practice Telephone | 6235618252 |
| Practice Fax Number | 6235618253 |
| Mailing Telephone | 6235618252 |
| Mailing Fax Number | 6235618253 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A95611 | CA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
41788 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
41788 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ LIC | 41788 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Aulike St, Kailua, HI 967342758 | 8087446638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447711 | Jonathan Eric Carlson | Counselor | 315 N 2nd St, Yakima, WA 98901-2334 | 2018-11-30 |
| 1326534603 | Jonathan R Carlson | Counselor | 34 N Main St, Warsaw, NY 14569-1326 | 2018-07-10 |
| 1447610670 | Jonathan James Carlson | Naturopath | 18528 Firlands Way N, Suite D, Shoreline, WA 98133-3985 | 2016-03-01 |
| 1922219500 | Jonathan D Carlson | Neurological Surgery | 105 W 8th Ave, Ste 200, Spokane, WA 99204-2302 | 2007-05-24 |
| 1063567451 | Jonathan Carlson | Internal Medicine | 55 Fruit St, Yawkey 7e, Mgh, Boston, MA 02114-2621 | 2007-01-24 |
| Street Address |
9401 W THUNDERBIRD RD SUITE 180 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699706457 | Lonnie P Finney Jr. | Chiropractor | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2006-07-06 |
| 1710368410 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2015-06-18 |
| 1720495146 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2014-07-17 |
| 1194138545 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2014-06-03 |
| 1588001283 | Lisa Olson | Physical Therapist | 9401 W Thunderbird Rd, Suite 190, Peoria, AZ 85381-4233 | 2013-06-04 |
| 1881861953 | Surraj Medical Associates,pllc | Clinic/Center | 9401 W Thunderbird Rd, Suite 155, Peoria, AZ 85381-4233 | 2008-05-08 |
| 1912176249 | Bright Alternatives Inc | Counselor | 9401 W Thunderbird Rd, Suite 183 & Suite 186, Peoria, AZ 85381-4233 | 2008-02-20 |
| 1023103488 | Elisabeth Gayle Davies | Counselor | 9401 W Thunderbird Rd, Suite #183 and Suite #186, Peoria, AZ 85381-4233 | 2006-10-03 |
| 1447369947 | Pamela Morgan | Physical Therapist | 9401 W Thunderbird Rd, Peoria, AZ 85381-4233 | 2006-08-29 |
| 1346272564 | Namita S Sachdeva | Internal Medicine | 9401 W Thunderbird Rd, #155, Peoria, AZ 85381-4233 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568909562 | T&d Health LLC | Pain Medicine | 30099 N 129th Dr, Peoria, AZ 85383-5267 | 2017-01-27 |
| 1891207478 | Robert Miller | Pain Medicine | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-11-03 |
| 1588996151 | Peoria Pain Physicians | Pain Medicine | 15262 N 75th Ave, Suite 400 A, Peoria, AZ 85381-4763 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842485 | Southwest Pain Solutions, LLC | Pain Medicine | 6401 E Caron Dr, Paradise Valley, AZ 85253-1862 | 2020-05-08 |
| 1801422209 | Akg Medical Consulting Pllc | Pain Medicine | 7425 E Shea Blvd # 14, Scottsdale, AZ 85260-6411 | 2020-03-17 |
| 1821652686 | Randall S. Prust Md PC | Pain Medicine | 6060 N Fountain Plaza Dr Ste 170, Tucson, AZ 85704-7875 | 2019-04-26 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1861964686 | Choice Pain Solutions Treatment Center | Pain Medicine | 10565 N Tatum Blvd Ste B115, Paradise Valley, AZ 85253-1095 | 2018-12-18 |
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1538699491 | Jtm Healthcarellc | Pain Medicine | 12049 W Indian School Road, Suite B210, Avondale, AZ 85392-9505 | 2017-06-14 |
| 1205292315 | Advanced Back and Neck, LLC | Pain Medicine | 1055 W Queen Creek Rd Ste 3, Chandler, AZ 85248-8134 | 2016-01-05 |
| 1831535350 | Ankit Patel | Pain Medicine | 1641 E Osborn Rd Ste 6, Phoenix, AZ 85016-7146 | 2013-05-13 |
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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.