Individual provider Active NPI

Hannah Leah Carson, MD

  • Family Medicine Physician
  • Laughlin AFB, TX
National Provider Identifier
1114506912
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.150096 Issued in OH
Practice address
590 Mitchell Blvd
Laughlin AFB, TX 78843-5242
Phone
(830) 298-6333
Fax
(830) 298-6546
NPI assigned
Apr 7, 2021
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.150096 OH Primary

Addresses

Primary practice location

590 Mitchell Blvd
Laughlin AFB, TX 78843-5242

Mailing address

477 Cooper Rd Ste 300
Westerville, OH 43081-8057
Phone (380) 898-8808

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204003277 OH Order and Referring Only - Family PracticePractitioner - Family Practice 6709234537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.150096OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1114506912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818057",
            "telephone_number": "380-898-8808",
            "fax_number": "614-898-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MITCHELL BLVD",
            "city": "LAUGHLIN AFB",
            "state": "TX",
            "postal_code": "788435242",
            "telephone_number": "830-298-6333",
            "fax_number": "830-298-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "HANNAH",
        "middle_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.150096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin AFB, TX

Sources for this page

Verify at the official NPI Registry.