Individual provider Active NPI

Lawrence Colby Carlson, DPM

  • Podiatrist
  • Toledo, OH
National Provider Identifier
1083318463
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36004236 Issued in OH
Practice address
3055 W Sylvania Ave
Toledo, OH 43613-4135
Phone
(419) 473-0125
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36004236 OH Primary

Addresses

Primary practice location

3055 W Sylvania Ave
Toledo, OH 43613-4135

Mailing address

3055 W Sylvania Ave
Toledo, OH 43613-4135
Phone (419) 473-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612003800 OH Practitioner - Podiatry 5193181592

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent L Rubin and Associates IncGroup PAC ID 8820092042, 4 clinicians

Practice addresses (Care Compare)

3055 W Sylvania Ave
Toledo, OH 43613-4135
Phone (419) 473-0125

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36004236OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent L. Rubin & Associates Inc Podiatrist CurrentSince Jul 1, 2026 Accepting new patients
Brent L. Rubin & Associates Inc Podiatrist CurrentSince Jul 1, 2026 Accepting new patients

Locations

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2213 Cherry St
Ste 200
Toledo, OH 43608
Phone (419) 251-4283

3055 W Sylvania Ave
Toledo, OH 43613
Phone (419) 471-1172

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083318463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134135",
            "telephone_number": "419-473-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134135",
            "telephone_number": "419-473-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LAWRENCE",
        "middle_name": "COLBY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36004236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.