Active NPI
Eric John Carlson, D.O.
- Maternal & Fetal Medicine Physician
- Wynnewood, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- OS011047L
- Practice address
- 100 E Lancaster Ave
353 Medical Office Building East
Wynnewood, PA 19096-3450 - Phone
- (610) 649-9021
- Fax
- (610) 649-8058
- NPI assigned
- May 4, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | OS011047L | PA | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 25MB06319700 | NJ |
Addresses
Primary practice location
100 E Lancaster Ave
353 Medical Office Building East
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave
353 Medical Office Building East
Wynnewood, PA 19096-3450
Phone (610) 649-9021
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30018993 | Other | PA | KEYSTONE MERCY |
| 3716982 | Other | PA | AETNA US HEALTHCARE HMO |
| 0184927006 | Other | PA | AMERICHOICE |
| 33657 | Other | PA | HEALTH PARTNERS |
| 923742 | Other | PA | BC/BS SHIELD HIGHMARK |
| 30018989 | Other | PA | KEYSTONE MERCY GROUP |
| 3716959 | Other | PA | AETNA US HEALTHCARE GROUP |
| 00184927 | Medicaid | PA | |
| 33658 | Other | PA | HEALTH PARTNERS |
| 1652891 | Other | PA | BC/BS HIGHMARK GROUP |
| 33659 | Other | PA | HEALTH PARTNERS |
| 02640 | Other | PA | HEALTH PARTNERS |
| 00866773000 | Other | PA | BC/BS KEYSTONE, PERSONAL |
| 2330386000 | Other | PA | BC/BS KEY, PER. GROUP |
| 5824670 | Other | PA | AETNA US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Eastern Virginia Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 889-9550
919 Conestoga Rd
Suite 104
Bryn Mawr, PA 19010-1352
Phone (610) 525-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Regional Women's Health Group, LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Regional Womens Health Group LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| OB Hospitalist Services New Jersey, PA | Current | Accepting new patients | |
| Main Line Healthcare | Current | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Obstetrics & Gynecology Fund | Past | Accepting new patients |
Locations
30 N Pearl St
Bridgeton, NJ 08302
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
704 N Beers St
Holmdel, NJ 07733
Phone (732) 739-2500
30 W Mount Pleasant Ave
Ste 200
Livingston, NJ 07039
Phone (201) 666-4200
312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552
700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025
2401 E Evesham Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 489-5700
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
830 Old Lancaster Rd
Ste 209
Bryn Mawr, PA 19010
Phone (610) 525-1061
919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400
85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744
780 E Market St
Ste 105B
West Chester, PA 19382
Phone (640) 649-9021
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
100 E Lancaster Ave
#A
Wynnewood, PA 19096
Phone (610) 649-9021
100 E Lancaster Ave
#B15
Wynnewood, PA 19096
Phone (484) 476-2658
100 E Lancaster Ave
Ste 301
Wynnewood, PA 19096
Phone (484) 476-4650
100 E Lancaster Ave
Ste 353
Wynnewood, PA 19096
Phone (610) 649-9021
Interoperability endpoints
- eric.carlson@axia.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
Maternal & Fetal Medicine
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
Maternal & Fetal Medicine
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Obstetrics & Gynecology Physician
- Wynnewood, PA
- NPI 1164556973
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1063715332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316995574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "353 MEDICAL OFFICE BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-9021",
"fax_number": "610-649-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "353 MEDICAL OFFICE BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-9021",
"fax_number": "610-649-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ERIC",
"middle_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "OS011047L",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "25MB06319700",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30018993",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE HMO",
"identifier": "3716982",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0184927006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "33657",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS SHIELD HIGHMARK",
"identifier": "923742",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY GROUP",
"identifier": "30018989",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE GROUP",
"identifier": "3716959",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00184927",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "33658",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HIGHMARK GROUP",
"identifier": "1652891",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "33659",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "02640",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KEYSTONE, PERSONAL",
"identifier": "00866773000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KEY, PER. GROUP",
"identifier": "2330386000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "5824670",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.