DR. RYAN MATTHEW CARLSON (NPI# 1720221963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720221963 |
| Entity Type | Individual |
| Full Name | DR. RYAN MATTHEW CARLSON |
| Credential | MD |
| Practice Address |
401 Phalen Blvd - Ms 41104a Healthpartners Specialty Center 401 St. Paul MN 55130-5302 |
| Mailing Address |
640 Jackson St Ms 11502v Saint Paul MN 55101-2502 |
| Practice Telephone | 6512547980 |
| Practice Fax Number | 6512547969 |
| Mailing Telephone | 6512547980 |
| Mailing Fax Number | 6512547990 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 51674 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255577425 | Ryan Robert Carlson | Occupational Therapist | 1309 Southmoreland Pl, Shenandoah, IA 51601-2247 | 2008-12-18 |
| 1053534172 | Ryan M. Carlson | Dermatology | 1933 Ohio Drive, Grove City, OH 43123-4835 | 2007-04-10 |
| 1447256722 | Ryan Lee Carlson | Pharmacy Technician | 118 W 5th St, Starbuck, MN 56381-2426 | 2005-06-22 |
| 1144857368 | Ryan Arvid Carlson | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-03-26 |
| 1477035459 | Ryan Carlson | Chiropractor | 103 Sw Winsted Ln Ste 25, Bentonville, AR 72713-6203 | 2018-09-05 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1992238604 | Ryan Carlson | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2017-04-10 |
| Street Address |
401 PHALEN BLVD - MS 41104A HEALTHPARTNERS SPECIALTY CENTER 401 |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255404406 | Liliana G Bordeianou | Surgery | University of Minnesota, 393 Dunlap St. North #500, St. Paul, MN 55104 | 2006-11-16 |
| 1245529379 | Jessica Jerich Wetterlin | Surgery | 435 Phalen Blvd, Ms 51103c, St. Paul, MN 55130 | 2011-03-29 |
| 1750465290 | Rochus Ken-ichi Voeller | Surgery | 640 Jackson St - Mc 11503k, Hehealthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
| Find all providers with the same taxonomy | ||||
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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.