Mark D Carlson, M.D.
Individual provider Active NPI Internal Medicine Physician · Pittsburg, KS
NPI 1184736498 · NPPES record last updated Mar 3, 2008
Key facts
- NPI
- 1184736498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 04-22890 (KS)
- Practice address
- 2401 S Tucker Ave Ste 1
Pittsburg, KS 66762-6619 - Phone
- (620) 231-1650
- Fax
- (620) 231-1685
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Pittsburg LLC
Pittsburg Internal Medicine PA
Practice addresses (Care Compare)
1 Mt Carmel Way
Pittsburg, KS 66762-7587
1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100
1300 E Centennial Dr
Mercy Clinic Pittsburg
Pittsburg, KS 66762-6650
Phone (602) 232-5705
2401 S Tucker Ave
1 Mercy Clinic Pittsburg
Pittsburg, KS 66762-6619
Phone (620) 232-0133
2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044
Hospital & facility affiliations
- Ascension at Home
- Angels Care Home Health
- Harry Hynes Memorial Hospice
- Mercy Hospital Pittsburg, Inc
- Freeman Health System - Freeman West
- Girard Medical Center
- University of Kansas Hospital
- Mercy Hospital Joplin
- Via Christi Village Pittsburg
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 29 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 20 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 59 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411001155 | KS | Practitioner - Internal Medicine | 2264479310 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-22890 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Pittsburg LLC | Internal Medicine | Current |
Accepting new patients |
| Pathology Laboratory Associates, Inc. | Current | Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Internal Medicine | Current |
Accepting new patients |
| Pittsburg Internal Medicine, P.a. | Internal Medicine | Current |
Accepting new patients |
| Regional Medical Laboratory, Inc | Current | Accepting new patients |
Locations
2401 S Tucker Ave
Ste 1
Pittsburg, KS 66762
Phone (620) 231-1650
2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGDDDD/Endpoint/GGDDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-22890 | KS | Yes |
Addresses
Primary practice location
2401 S Tucker Ave Ste 1
Pittsburg, KS 66762-6619
Mailing address
2401 S Tucker Ave Ste 1
Pittsburg, KS 66762-6619
Phone (620) 231-1650
Other providers in Pittsburg, KS
- Tyler Michael Campbell
- Ashleigh N Cardwell
- Care-4-U, Inc.
- Michele Carey
- Caring Hands Hospice, LLC
- Philip D Carr
- Carrington Residential, LLC
- Charrisa Castillo
- Diana E Cates
- Ryan Cedeno
All providers in Pittsburg, KS · Internal Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.