Individual provider Active NPI

Leigh Ann Carlson, MD

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1245595347
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
123997 Issued in OH
Practice address
2367 Keep PL
Columbus, OH 43204-4989
Phone
(330) 421-6272
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 123997 OH Primary

Addresses

Primary practice location

2367 Keep PL
Columbus, OH 43204-4989

Mailing address

2367 Keep PL
Columbus, OH 43204-4989
Phone (330) 421-6272

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
I20150806010299 OH Practitioner - Emergency Medicine 0840431334 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123997OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Emergency Services, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

3880 Fishinger Blvd
Hilliard, OH 43026
Phone (614) 788-9310

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

6960 E Main St
Reynoldsburg, OH 43068
Phone (614) 788-9320

260 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3470

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Emergency Services, LLC 84 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-1997

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1245595347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 KEEP PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044989",
            "telephone_number": "330-421-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 KEEP PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044989",
            "telephone_number": "330-421-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "123997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.