DR. MATTHEW CARLSON (NPI# 1558689133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558689133 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW CARLSON |
| Credential | M.D. |
| Practice Address |
2800 Main St St. Vincent's Medical Center; Department of Surgery Bridgeport CT 06606-4201 |
| Practice Telephone | 2035765436 |
| Mailing Telephone | 2035765436 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
048876 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821406133 | Matthew Felix Carlson | Specialist/Technologist | Rollins College, 1000 Holt Ave-2730, Winter Park, FL 32789 | 2014-07-30 |
| 1457637910 | Matthew Hunter Carlson | Naturopath | 6253 1/2 3rd Ave Nw, Seattle, WA 98107-2106 | 2011-10-28 |
| 1972798015 | Matthew E Carlson | Dentist | 130 S 15th St Ste 101, North Sound Endodontcs, Mount Vernon, WA 98274-4569 | 2007-09-12 |
| 1073640413 | Matthew Thomas Carlson | Physical Therapist | 9826 S Western Ave, Evergreen Park, IL 60805-3200 | 2007-02-27 |
| 1588168678 | Matthew D Carlson | Counselor | 4320 Diplomacy Dr Ste 3121, Anchorage, AK 99508-5925 | 2018-03-22 |
| 1023362613 | Matthew William Carlson | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2012-11-03 |
| 1265799027 | Matthew David Carlson | Optometrist | 2501 N 45th St, Seattle, WA 98103-6909 | 2012-04-18 |
| 1982978672 | Matthew Herrick Carlson | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2012-02-28 |
| 1346561172 | Matthew Paul Carlson | Family Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2010-06-16 |
| 1992028583 | Matthew J Carlson | Specialist/Technologist | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2010-03-10 |
| Street Address |
2800 MAIN ST ST. VINCENT'S MEDICAL CENTER; DEPARTMENT OF SURGERY |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678227 | Stuart Marcus | Surgery | 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 | 2005-09-09 |
| 1134733074 | Jessica Anne Mcdonald | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-08 |
| 1720692874 | Patricia A Hardy | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-05 |
| 1083227920 | Richard Magee | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-08-29 |
| 1083223903 | Victoria Piacquadio | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-07-27 |
| 1972120509 | Svmc Holdings, Inc | Pharmacy | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-06-30 |
| 1083237168 | Ranji Raju | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-22 |
| 1437771698 | Michaela Anne Paduch | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-11 |
| 1376162982 | Lyndsay Hauser | Student in an Organized Health Care Education/Training Program | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-04-14 |
| 1851938435 | Kaitlyn Mccarthy | Pharmacist | 2800 Main St, Bridgeport, CT 06606-4201 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700171659 | Michael J Hernon | Surgery | 80 Seymour St, Hartford, CT 06102-8000 | 2011-06-17 |
| 1922391887 | Jane Josephine Keating | Surgery | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | 2011-05-25 |
| 1972816320 | Lucy Ruangvoravat | Surgery | 800 Howard Ave Fl 3, New Haven, CT 06519-1369 | 2010-07-14 |
| 1740500479 | Bishwajit Bhattacharya | Surgery | 333 Cedar St., Yale Medical School, New Haven, CT 06510 | 2010-06-04 |
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on DR. MATTHEW CARLSON.
| 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.