MR. JOHN DALE CARLSON (NPI# 1932131596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932131596 |
| Entity Type | Individual |
| Full Name | MR. JOHN DALE CARLSON |
| Credential | MD |
| Practice Address |
492 N Wilson St Crestview FL 32536-3442 |
| Mailing Address |
205 W Pine Ave Crestview FL 32536-3423 |
| Practice Telephone | 8506825332 |
| Practice Fax Number | 8506828486 |
| Mailing Telephone | 8506825332 |
| Mailing Fax Number | 8506828486 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0051484 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033594007 | John James Carlson | Optometrist | 65 W Whidbey Ave Apt A101, Oak Harbor, WA 98277-2150 | 2015-07-20 |
| 1073885166 | John Carlson | Chiropractor | 10260 Sw Greenburg Rd Ste 414, Tigard, OR 97223-5500 | 2012-02-03 |
| 1144591850 | John Erik Carlson | Specialist/Technologist | 4221 Hilltop Rd, Harrisonburg, VA 22801-2321 | 2012-01-26 |
| 1760620157 | John Carlson | Massage Therapist | 2409 Lyndale Ave S, Minneapolis, MN 55405-3357 | 2009-01-23 |
| 1760693956 | John Steven Carlson | Psychologist | 601 Abbott Rd, Suite 101, East Lansing, MI 48823-3366 | 2007-05-27 |
| 1467542241 | John D Carlson | Optometrist | 2170 Highway 51 S Ste 6, Hernando, MS 38632-1108 | 2006-10-13 |
| 1184735854 | John Ellert Carlson | Radiology | 9764 Country Creek Way, Dayton, OH 45458-9242 | 2006-08-31 |
| 1497773253 | John David Carlson | Chiropractor | 6905 W Gate Blvd Ste A, Austin, TX 78745-5141 | 2006-07-18 |
| 1134198674 | John Compton Carlson | Obstetrics & Gynecology | 3524 Silverside Rd, The Commons, Suite 33, Wilmington, DE 19810-4929 | 2006-03-16 |
| 1215916291 | John Raymond Carlson | Dentist | 58 Court St, Middlebury, VT 05753-1419 | 2006-01-10 |
| Street Address |
492 N WILSON ST |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831503911 | Artery and Vein Specialists of The Emerald Coast, Inc. | Surgery | 492 N Wilson St, Crestview, FL 32536-3442 | 2014-06-17 |
| 1922255967 | The Womans Clinic | Exclusive Provider Organization | 492 N Wilson St, Crestview, FL 32536-3442 | 2008-08-21 |
| 1023217908 | Ginger Lynne Manos | Surgery | 492 N Wilson St, Crestview, FL 32536-3442 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811250749 | Maria Rodriguez | Specialist | 6201 Flash Ln, Crestview, FL 32536-4367 | 2012-06-15 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1831237460 | Stephen Arnold Schwartz | Specialist | 1408 Grandview Dr, Crestview, FL 32539-8519 | 2007-02-04 |
| 1346295615 | Anesthesia and Pain Consultants, Pa | Specialist | 634 Riverwood Dr, Crestview, FL 32536-5008 | 2006-05-24 |
| 1245280858 | Shijun Pan | Specialist | 535 S Ferdon Blvd Ste C, Crestview, FL 32536-4446 | 2006-05-12 |
| 1770572745 | Alfred Cardet | Specialist | 550 W Redstone Ave, Suite300, Crestview, FL 32536-6429 | 2005-10-20 |
| 1649262650 | Marty P Gagliardi | Specialist | 127 E Redstone Ave, Suite B, Crestview, FL 32539-5358 | 2005-08-16 |
| 1700119443 | Bluewater Orthopedics, P.a. | Specialist | 120 E Redstone Ave, Suite B, Crestview, FL 32539-5370 | 2009-09-14 |
| 1063680528 | Okaloosa Pulmonary & Sleep Medicine Clinic | Specialist | 131 E Redstone Ave, Suite 105, Crestview, FL 32539-5326 | 2008-02-18 |
| 1245438704 | Charles Sedillo Mata | Specialist | 4100 S Ferdon Blvd, B-4, Crestview, FL 32536-5252 | 2007-07-06 |
| Find all providers in CRESTVIEW | ||||
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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.