John Ellert Carlson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35068359 Issued in OH

Practice address

9764 Country Creek Way
Dayton, OH 45458-9242

Phone

(937) 885-3954

NPI assigned

Aug 31, 2006

Last updated

Jul 7, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Kettering Network Radiologists Inc

  • Diagnostic Radiology Physician
  • Kettering, OH
  • NPI 1346299153
  NPD (past)
• Kettering Radiologist Imaging Center

  • Diagnostic Radiology Physician
  • Kettering, OH
  • NPI 1720037534
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Medical Radiologists Inc

  • Diagnostic Radiology Physician
  • Dayton, OH
  • NPI 1902912579
  NPD (past)
• Osu Health System-Hospital at Home

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1528025657
  NPD (past)
• Professional Radiology Inc.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
  • NPI 1043348014
  NPD (past)
• University Radiologists Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1518917442
  NPD (past)
• Franklin & Seidelmann Inc

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1972539245
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1184735854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23625 COMMERCE PARK",
            "address_2": "SUITE 204",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225845",
            "telephone_number": "216-255-5700",
            "fax_number": "216-255-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9764 COUNTRY CREEK WAY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454589242",
            "telephone_number": "937-885-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "ELLERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35068359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460497",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Loving Touch LLC
• Caring Souls, Inc
• Carissa Mitchell LPCC LLC
• Charlene Jesse Carlock, PHD
• Tanner C Carlock, MD
• Stephanie Carlson, NP
• Randall Carmack, LSW
• Teresa Lynn Carman, MS, LPCC
• Thomas James Carmody, MD
• Sarah Carmona

• Diagnostic Radiology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.