Eric S Carlson (NPI# 1649220021, PAC ID# 1850359803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649220021 |
| PAC ID by PECOS | 1850359803 |
| Professional Enrollment ID | I20041222000519 |
| Full Name | Eric S Carlson |
| Organization Legal Name | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| Address |
4320 Wornall Rd Suite 610 Kansas City MO 64111-3235 |
| Phone Number | 9133197600 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153225479 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170188 | KANSAS CITY ORTHOPAEDIC INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 | 9133197600 | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| 3651 College Blvd, Leawood, KS 66211-1910 | 9133197600 | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| Organization Legal Name | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constantine L Fotopoulos | Physical Medicine and Rehabilitation | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Mark J Winston | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Stanley A Bowling | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Seamus Cotter Brown | Physician Assistant | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Harold Scott Ellsworth Jr. | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Timothy M Badwey | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Charles E Rhoades | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Danny M Gurba | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Scott A Wingerter | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Thomas P Phillips | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Street Address |
4320 WORNALL RD SUITE 610 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64111-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constantine L Fotopoulos | Physical Medicine and Rehabilitation | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Jessica K Heimes | Cardiac Surgery | Heart Surgeons of Kansas City, Inc. | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-3201 |
| Samantha M Alsop | Vascular Surgery | Heart Surgeons of Kansas City, Inc. | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-3201 |
| Karthik Vamanan | Vascular Surgery | Heart Surgeons of Kansas City, Inc. | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-3201 |
| Emily Johnston | Nurse Practitioner | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Chelsea J Light | Physician Assistant | Heart Surgeons of Kansas City, Inc. | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-3201 |
| Mark J Winston | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Irme Akhtar | Nephrology | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Barry C Wood | Internal Medicine | Kansas City Kidney Consultants Pa | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5964 |
| Stanley A Bowling | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Welsh | Family Medicine | Partners In Primary Care Nc PC | 301 E Armour Blvd, 2e Partners In Primary Care Midtown, Kansas City, MO 64111-1289 |
| Stephen C Salanski | Family Medicine | Partners In Primary Care Nc PC | 301 E Armour Blvd, 2e Partners In Primary Care Midtown, Kansas City, MO 64111-1289 |
| Nathaniel Shane Coburn | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Craig Howard Lee | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Paula Michelle Holm | Occupational Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Kathryne Suzanne Bever | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Kara Diane Chapman | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Sara E. Jones | Occupational Therapy | Serc Rebabilitation Partners, LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Frances M Hollembaek | Chiropractic | 3611 Main St, Suite 103, Kansas City, MO 64111-1932 | |
| Christina A Mcdowell | Clinical Social Worker | 4044 Central St, Kansas City, MO 64111-2228 | |
| Find all physicians in zip 64111 | |||
| City | KANSAS CITY |
| Zip Code | 64111 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KANSAS CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Eric S Carlson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.