MR. MATTHEW J CARLSON (NPI# 1992028583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992028583 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW J CARLSON |
| Credential | ATC, CSCS, PA-C |
| Practice Address |
575 Turnpike St Suite 11 North Andover MA 01845-5924 |
| Practice Telephone | 9787941946 |
| Practice Fax Number | 9789753925 |
| Mailing Telephone | 9787941946 |
| Mailing Fax Number | 9789753925 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA5055 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821406133 | Matthew Felix Carlson | Specialist/Technologist | Rollins College, 1000 Holt Ave-2730, Winter Park, FL 32789 | 2014-07-30 |
| 1457637910 | Matthew Hunter Carlson | Naturopath | 6253 1/2 3rd Ave Nw, Seattle, WA 98107-2106 | 2011-10-28 |
| 1972798015 | Matthew E Carlson | Dentist | 130 S 15th St Ste 101, North Sound Endodontcs, Mount Vernon, WA 98274-4569 | 2007-09-12 |
| 1073640413 | Matthew Thomas Carlson | Physical Therapist | 9826 S Western Ave, Evergreen Park, IL 60805-3200 | 2007-02-27 |
| 1588168678 | Matthew D Carlson | Counselor | 4320 Diplomacy Dr Ste 3121, Anchorage, AK 99508-5925 | 2018-03-22 |
| 1023362613 | Matthew William Carlson | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2012-11-03 |
| 1265799027 | Matthew David Carlson | Optometrist | 2501 N 45th St, Seattle, WA 98103-6909 | 2012-04-18 |
| 1982978672 | Matthew Herrick Carlson | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2012-02-28 |
| 1346561172 | Matthew Paul Carlson | Family Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2010-06-16 |
| 1558689133 | Matthew Carlson | Surgery | 2800 Main St, St. Vincent's Medical Center; Department of Surgery, Bridgeport, CT 06606-4201 | 2010-05-06 |
| Street Address |
575 TURNPIKE ST SUITE 11 |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065364 | Gokul V.r. Prakash | Surgery | 575 Turnpike St, North Andover, MA 01845-5924 | 2005-07-07 |
| 1972965382 | Daniel Stone | Physician Assistant | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2016-03-24 |
| 1043696446 | Diana Dion | Nurse Practitioner | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2015-08-07 |
| 1962884866 | Orthopaedics Northeast, LLC | Internal Medicine | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2015-06-26 |
| 1487913380 | Pediatrics At Chestnut Greens | Clinic/Center | 575 Turnpike St, Suite 28, North Andover, MA 01845-5924 | 2012-05-11 |
| 1174881197 | Orthopaedics Northeast, P.C. | Internal Medicine | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2012-04-27 |
| 1689965733 | Kathryn M Ghio | Physician Assistant | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2011-04-25 |
| 1598078057 | Scott Joseph Dowd | Physical Medicine & Rehabilitation | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2010-07-26 |
| 1891958831 | Amy J Wu | Internal Medicine | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2008-07-09 |
| 1083875462 | David Palma | Physical Medicine & Rehabilitation | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972965382 | Daniel Stone | Physician Assistant | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
Please comment or provide details below to improve the information on MR. MATTHEW J 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.