Ray Lynn Carlson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AK2778 Issued in AK

Practice address

10543 Kenai Spur Hwy
Kenai, AK 99611-7812

Phone

(907) 283-9118

Fax

(907) 283-5341

NPI assigned

Jan 11, 2007

Last updated

Feb 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 28, 2020 through Sep 28, 2026

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

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  NPD (past)
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  • Psychiatric Hospital Unit
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  • NPI 1770687857
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1114077468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110240",
            "telephone_number": "907-283-9118",
            "fax_number": "907-283-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10543 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117812",
            "telephone_number": "907-283-9118",
            "fax_number": "907-283-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RAY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AK2778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laina Gay Cafego, D.O.
• Heather Leigh Callum, MD
• Joseph J. Cannava, MS,LPCS, CDCS
• Casey Jane Caraher, DMD
• Care Solutions & Coordination, LLC
• Karen Lorraine Carpenter, MASSAGE THERAPIST
• Robert Lee Carpenter, R.N., MASSAGE TPST.
• Carr-Gottstein Foods Co (Carrs Pharmcay #1808)
• Carr-Gottstein Foods Co (Safeway Pharmacy #1808)
• Alicia Marie Castillo

• Family Medicine Physician in Kenai, AK
• Providers in Kenai, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.