Andrew Bert Carlsen, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

12245 Issued in TN

Practice address

182 Appletreewick St
Sewanee, TN 37375-2799

Phone

(931) 233-1728

NPI assigned

Apr 23, 2007

Last updated

Dec 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Heart Group PLLC

  • Cardiovascular Disease Physician
  • Nashville, TN
  • NPI 1861442592
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1306064316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 APPLETREEWICK ST",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373752799",
            "telephone_number": "931-233-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 APPLETREEWICK ST",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373752799",
            "telephone_number": "931-233-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "ANDREW",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "12245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Q Bennett, LCSW
• Craig L Berger, MD
• Eric Bornemann, RN, CPNP-PC
• Jonathan Buffington, LCSW, LADAC II
• David McCrary Burnett, LADAC
• Ashish K Chakravarthy, MD
• Compassionate Home Care & Staffing (Compassionate Home Care & Community Services L.L.C.)
• Cumberland Healthcare Group PLLC (Sewanee Family Practice)
• Cumberland Healthcare Group PLLC (Sewanee Pediatrics)
• David Cunningham, PT

• Cardiovascular Disease Physician in Sewanee, TN
• Providers in Sewanee, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.