JEFFREY LYNN CARLSON (NPI# 1609027689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609027689 |
Entity Type | Individual |
Full Name | JEFFREY LYNN CARLSON |
Credential | DPM |
Practice Address |
1000 Michigan St Sidney OH 45365-2404 |
Practice Telephone | 9374921211 |
Practice Fax Number | 9374926557 |
Mailing Telephone | 9374921211 |
Mailing Fax Number | 9374926557 |
Enumeration Date | 2008-10-08 |
Last Update Date | 2011-07-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003576 | OH | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
7054576-0501 | UT | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 3133424 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538133095 | Jeffrey Jeral Carlson | Radiology | 11911 Linden Walk Lane, Pearland, TX 77584-3961 | 2006-02-13 |
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 |
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 |
1000 MICHIGAN ST |
City | SIDNEY |
State | OH |
Zip Code | 45365-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023000833 | Eric J. Polansky | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2005-08-17 |
1437470481 | Adrienne Marie O'neill | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2010-06-14 |
1528387958 | Jonathan M Sullivan | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2010-05-25 |
1134445356 | Hillarie Sizemore Amburgey | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2010-04-13 |
1871538207 | Advanced Foot & Ankle Care Centers of Ohio, Inc. | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2006-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
1568979045 | Healthstat Onsiet Clinic Nk Parts | Preventive Medicine | 800 S Kuther Rd, Sidney, OH 45365 | 2018-01-05 |
1225565427 | Courtney Lynn Spearman | Speech-Language Pathologist | 1152 St. Marys Avenue, Sidney, OH 45365 | 2017-05-18 |
1710381439 | Tammy Bridenbaugh | Nursing Care | 1028 N. Broadway, Sidney, OH 45365 | 2014-10-09 |
1568897346 | Rachelle Kistner | Counselor | 1065 Fairington Dr, Sidney, OH 45365 | 2013-09-11 |
1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
1023350394 | Honey Gem Drinnen | Licensed Practical Nurse | 416 Ironwood Drive, Sidney, OH 45365 | 2013-03-25 |
1376853325 | Jamey Leigh Hepner | Nurse Practitioner | 1101 N Vandemark Rd, Sidney, OH 45365 | 2010-10-08 |
1578701850 | Fairlawn Local Schools | Local Education Agency (LEA) | 18000 Johnston Rd, Sidney, OH 45365 | 2009-01-26 |
1730345398 | Angela Castle | Counselor | 1101 N Vandermark Rd., Sidney, OH 45365 | 2008-08-04 |
Find all providers in zip 45365 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760497176 | Foot and Ankle Centers of Ohio, Inc. | Podiatrist | 2097 W Russell Rd, Sidney, OH 45365-8683 | 2006-07-31 |
1023000833 | Eric J. Polansky | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2005-08-17 |
1598765810 | Michael A Jones | Podiatrist | 1000 W Michigan Ave, Sidney, OH 45365-2404 | 2005-07-28 |
1528387958 | Jonathan M Sullivan | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2010-05-25 |
1134445356 | Hillarie Sizemore Amburgey | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2010-04-13 |
1871538207 | Advanced Foot & Ankle Care Centers of Ohio, Inc. | Podiatrist | 1000 Michigan St, Sidney, OH 45365-2404 | 2006-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
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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.