MARTHA D CARLSON (NPI# 1871509059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871509059 |
| Entity Type | Individual |
| Full Name | MARTHA D CARLSON |
| Credential | MD PHD |
| Practice Address |
1500 E Medical Center Dr Ann Arbor MI 48109-5000 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349364000 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301065723 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
4301065723 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4222713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962472035 | Martha Aleisa Carlson | Nurse Practitioner | 580 New Waverly Pl, Suite 120, Cary, NC 27518-7406 | 2006-01-23 |
| 1902885064 | Martha J Carlson | Occupational Therapist | 1605 Nw 36th Way, Gainesville, FL 32605-4854 | 2006-01-16 |
| 1942452321 | Martha E Carlson | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2008-10-16 |
| 1942457619 | Martha Ann Carlson | Psychologist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2008-08-25 |
| Street Address |
1500 E MEDICAL CENTER DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475836 | Tami L. Remington | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 | 2005-05-23 |
| 1578164810 | Jessica Leigh Bailey | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-11-03 |
| 1518565910 | Yoshiaki Ota | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-10-16 |
| 1366058356 | Paulo Zupelari Goncalves | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-09-16 |
| 1306459466 | Jesse P Spalding | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1992318919 | Batoul Berri | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1063024891 | Nathan Allen Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-22 |
| 1780296699 | Yoav Hammer | Internal Medicine | 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 | 2020-08-21 |
| 1891306262 | Sarah Garnai | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-11 |
| 1386254936 | Ryan James Sutherlan | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162144 | Garnett Carlisle Smith | Psychiatry & Neurology | 1500 E Medical Center Dr, 1st Floor Taubman Center Recp C, Ann Arbor, MI 48109-5322 | 2012-03-30 |
| 1073718946 | Erin Elizabeth Neil Knierbein | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-06-19 |
| 1821299199 | Iha Health Services Corporation | Psychiatry & Neurology | 4200 Whitehall Dr, Ste 240, Ann Arbor, MI 48105-9694 | 2007-05-31 |
| 1548341787 | Daniela Nicola Minecan | Psychiatry & Neurology | 1500 East Medical Center Dr, 1st Floor University Hospital Room1b300, Ann Arbor, MI 48109-5036 | 2006-10-17 |
| 1316040827 | James Dowling | Psychiatry & Neurology | 1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4234 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216821 | Aimee F Luat | Psychiatry & Neurology | 3901 Beaubien St., Children's Hospital of Mi, Detroit, MI 48201 | 2008-02-19 |
| 1184735698 | Olufemi O Soyode | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2006-08-31 |
| 1669419560 | Marianne E Majkowski | Psychiatry & Neurology | 2919 E. Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2006-05-31 |
| 1104815786 | Michael A Nigro | Psychiatry & Neurology | 6832 Ferry Ave, Charlevoix, MI 49720-9501 | 2005-10-17 |
| 1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
| 1053943928 | Msu Health Care Inc. | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2020-02-10 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1629503024 | Suleiman Kojan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Beaumont Hospital Royal Oak, Royal Oak, MI 48073-6710 | 2017-04-24 |
| 1710342027 | Kabelo Joseph Thusang | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2015-12-31 |
| 1942620638 | Center for Adolescent and Child Neurology | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2014-04-21 |
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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.