Gary R Carlson (NPI# 1144280181, PAC ID# 5698780534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144280181 |
| PAC ID by PECOS | 5698780534 |
| Professional Enrollment ID | I20110128000397 |
| Full Name | Gary R Carlson |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF WESTLAKE |
| Address |
1240 S Westlake Blvd Suite 205 Westlake Village CA 91361-1992 |
| Phone Number | 8054950551124 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4486682648 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 | 8054950551124 | DERMATOLOGY ASSOCIATES OF WESTLAKE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 76% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF WESTLAKE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Bastien | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Thomas Jinkyu Kim | Dermatology | Dermatology Associates of Westlake | 1240 Westlake Bl, Suite 205, Westlake Vlg, CA 91361-1992 |
| Holly L Rausch | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Judith S Feldman | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Randolph S Capri | Dermatology | Dermatology Associates of Westlake | 1240 Westlake Bl, Suite 205, Westlake Vlg, CA 91361-1992 |
| Street Address |
1240 S WESTLAKE BLVD SUITE 205 |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip | 91361-1992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Bastien | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Jaclyn S Agopian | Physician Assistant | Ilya Reyter Md Inc | 1240 S Westlake Blvd, 217 American Skin Institute, Westlake Village, CA 91361-1995 |
| Elise M Herro | Dermatology | Ilya Reyter Md Inc | 1240 S Westlake Blvd, 217 American Skin Institute, Westlake Village, CA 91361-1995 |
| Erin B Call | Physician Assistant | Ilya Reyter Md Inc | 1240 S Westlake Blvd, 217 American Skin Institute, Westlake Village, CA 91361-1995 |
| Holly L Rausch | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Judith S Feldman | Dermatology | Dermatology Associates of Westlake | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1992 |
| Renee C Sheinin | Dermatology | Ilya Reyter Md Inc | 1240 S Westlake Blvd, 217 American Skin Institute, Westlake Village, CA 91361-1995 |
| Steven C Greenman | Oral Surgery | 1240 S Westlake Blvd, Suite 223, Westlake Village, CA 91361-1997 | |
| Anil Daya | Internal Medicine | 1240 S Westlake Blvd, Suite 137, Westlake Village, CA 91361-1988 | |
| Orlin M Liberman | Obstetrics/gynecology | 1240 S Westlake Blvd, Suite 117, Westlake Village, CA 91361-1978 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pezhman Nazemi | Ophthalmology | 351 E Rollings Oaks Dr, Suite 201, Thousand Oaks, CA 91361 | |
| Irina Feldman | Family Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Christine E Dahlin | Internal Medicine | 375 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1000 | |
| Kelley Ann Bannon | Qualified Audiologist | Decibel Hearing Services | 375 Rolling Oaks Dr, Suite 140, Thousand Oaks, CA 91361-1001 |
| Kenneth A Raven | Psychologist, Clinical | 25 W Rolling Oaks Dr, Suite 107, Thousand Oaks, CA 91361-1003 | |
| Steven Hershel Suchman | Family Medicine | 77 Rolling Oaks Dr, Suite 305, Thousand Oaks, CA 91361-1007 | |
| Barbara L Irish | Physician Assistant | Hullander and Mozingo Lp | 339 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Martin M Mortazavi | Neurosurgery | California Brain Institute Inc | 333 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| Nicholas Fettman | Otolaryngology | West Coast Ear, Nose and Throat | 302 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
| David Rosenfeld | Colorectal Surgery (proctology) | David B. Rosenfeld Md Inc | 341 S Moorpark Rd, T.o.p., Thousand Oaks, CA 91361-1008 |
| Find all physicians in zip 91361 | |||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
| Specialty | DERMATOLOGY |
| City + Specialty | WESTLAKE VILLAGE + DERMATOLOGY |
Please comment or provide details below to improve the information on Gary R 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.