ANNELISA M CARLSON (NPI# 1720153075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720153075 |
| Entity Type | Individual |
| Full Name | ANNELISA M CARLSON |
| Credential | MD |
| Practice Address |
5228 Evanswood Ln Minneapolis MN 55436-1133 |
| 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 | 2006-11-22 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
60206 | WI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48435 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
5228 EVANSWOOD LN |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55436-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| 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 |
|---|---|---|---|---|
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
| 1972600286 | Michael T Nelson | Radiology | Riverside Professional Building, Second Floor, Suite 200, 606 24th Avenue South, Minneapolis, MN 55454 | 2006-09-20 |
| 1073610374 | Carol Coleman Steenson | Radiology | 1 Veterans Drive, Dept of Imaging (114), Minneapolis Va Health Care System, Minneapolis, MN 55417 | 2006-09-20 |
| 1821023342 | Herbert Jones | Radiology | 3508 W 28th St, Minneapolis, MN 55416-4304 | 2006-07-12 |
| 1508816315 | Nazih N Farah | Radiology | 1221 Nicollet Ave, Suite 600, Minneapolis, MN 55403-2420 | 2006-05-11 |
| 1811947500 | Daniel Warren Eurman | Radiology | 100 3rd Ave S Unit 1507, Minneapolis, MN 55401 | 2006-05-11 |
| 1114906872 | David C Swanson | Radiology | 701 Park Ave # P4, Hcmc Radiology, Minneapolis, MN 55415-1623 | 2006-01-11 |
| 1295730349 | Gregory Bruce Snyder | Radiology | 2021 6th St Se, 2020 E 28th St., Minneapolis, MN 55455-3007 | 2005-06-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55436 |
Please comment or provide details below to improve the information on ANNELISA M 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.