DR. ELMER THOMAS CARLSON (NPI# 1598854358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598854358 |
| Entity Type | Individual |
| Full Name | DR. ELMER THOMAS CARLSON |
| Credential | M.D. |
| Practice Address |
4880 N Highway 19a Suite 200 Mount Dora FL 32757-2018 |
| Practice Telephone | 3525898111 |
| Practice Fax Number | 3525898495 |
| Mailing Telephone | 3525898111 |
| Mailing Fax Number | 3525898495 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ME 20114 | FL | Allopathic & Osteopathic Physicians |
| X | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
ME 20114 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA PROVIDER # | 4471200 | 01 |
| FL | HEALTHEASE PROVIDER # | 203150 | 01 |
| FL | BLUECROSS/BLUESHIELD | 35124 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588785034 | Elmer J. Carlson | Chiropractor | 9722 Sw Bank Rd., Vashon, WA 98070-0704 | 2007-04-03 |
| Street Address |
4880 N HIGHWAY 19A SUITE 200 |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033143672 | Carol J Kirkland | Nurse Practitioner | 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 | 2006-07-10 |
| 1699150680 | Christina Meyer | Nurse Practitioner | 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 | 2015-07-20 |
| 1245635762 | Thomas Kim Weichart | Nurse Practitioner | 4880 N Highway 19a, Mount Dora, FL 32757-2018 | 2014-10-27 |
| 1427306745 | Sharlene Hope Smith | Nurse Practitioner | 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 | 2012-08-16 |
| 1104013036 | Anna Nora Walls | Nurse Practitioner | 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 | 2007-09-25 |
| 1033269709 | Eye Specialists of Florida, Pa | Ophthalmology | 4880 N Highway 19a, Suite 100, Mount Dora, FL 32757-2018 | 2007-01-12 |
| 1750489654 | Liliane Kovacs Lesmes | Pediatrics | 4880 N Highway 19a, Mount Dora, FL 32757-2018 | 2006-09-21 |
| 1760590731 | Gail Ann Carlson | Nurse Practitioner | 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
| 1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
| 1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
| 1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
| 1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
| 1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
| 1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
| Find all providers in zip 32757 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
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| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
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| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
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| 1720494024 | Focus-fl 1012 Pllc | Pediatrics | 1501 S Dale Mabry Hwy Ste A6, Tampa, FL 33629-5837 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
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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.