Chester L. Carlson, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E-5307 Issued in AR

Practice address

5212 Village Pkwy
Rogers, AR 72758-8104

Phone

(479) 657-6888

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

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 2

Specialty

Emergency MedicineAlso: General Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Conway Regional Medical Center Inc

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1417024662

  AR

  Medicare reassignment NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1932442985

  AR, Emergency Medicine

  Medicare reassignment NPD
• Faulkner Emergency Group, PLLC

  • Emergency Medicine Physician
  • Conway, AR
  • NPI 1083279533

  AR, Emergency Medicine

  Medicare reassignment NPD
• Forrest City Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1497080501

  AR, Emergency Medicine

  Medicare reassignment NPD
• South Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1942435458

  AR, Emergency Medicine

  Medicare reassignment NPD
• St. Vincent Infirmary Medical Center

  • Certified Registered Nurse Anesthetist
  • Sherwood, AR
  • NPI 1316991847

  AR

  Medicare reassignment NPD
• McCurtain Memorial Medical Management, Inc.

  • Rural Acute Care Hospital
  • Idabel, OK
  • NPI 1629020177

  OK

  Medicare reassignment NPD
• Chester Carlson D.O. PLLC

  • Clinic/Center
  • Fort Smith, AR
  • NPI 1538879507
  NPD Authorized official
• Conway Regional Medical Center Inc

  • Family Medicine Physician
  • Conway, AR
  • NPI 1043183544

  General Practice

  NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Clarksville, AR
  • NPI 1609259753

  Emergency Medicine

  NPD
• Forrest City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1760897904

  Emergency Medicine

  NPD

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

• Russellville Holdings LLC

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1164544045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588104",
            "telephone_number": "479-657-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588104",
            "telephone_number": "479-657-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CHESTER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5307",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E5307",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E-5307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166986003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "5H348",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariella Camposeo
• Jennifer Canter, LAC
• Janet Susan Cantwell, MD
• Brent Clayton Caple, D.D.S.
• Caring Compressions,LLC
• Jordan Carlton
• Carmen P. Nugent, D.D.D., P.a
• Baillie Carmichael, NP-C
• Adriana Carmona
• Luis M Carrasco, MD

• All providers in Rogers, AR
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.