Individual provider Active NPI

Eric John Carlson, D.O.

  • Maternal & Fetal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1316995574
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
OS011047L Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30018993OtherPAKEYSTONE MERCY
3716982OtherPAAETNA US HEALTHCARE HMO
0184927006OtherPAAMERICHOICE
33657OtherPAHEALTH PARTNERS
923742OtherPABC/BS SHIELD HIGHMARK
30018989OtherPAKEYSTONE MERCY GROUP
3716959OtherPAAETNA US HEALTHCARE GROUP
00184927MedicaidPA
33658OtherPAHEALTH PARTNERS
1652891OtherPABC/BS HIGHMARK GROUP
33659OtherPAHEALTH PARTNERS
02640OtherPAHEALTH PARTNERS
00866773000OtherPABC/BS KEYSTONE, PERSONAL
2330386000OtherPABC/BS KEY, PER. GROUP
5824670OtherPAAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041130000004 PA Practitioner - Obstetrics/Gynecology 5294790648 Reassigns benefits to 2 organizations
I20190219000033 NJ Practitioner - Obstetrics/Gynecology 5294790648 Reassigns benefits to 3 organizations

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
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

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

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Aug 19, 2021 Accepting new patients
Regional Women's Health Group, LLC Maternal & Fetal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Community Health Care, Inc. CurrentSince Aug 19, 2021 Accepting new patients
Regional Womens Health Group LLC Maternal & Fetal Medicine CurrentSince Jun 26, 2018 Accepting new patients
OB Hospitalist Services New Jersey, PA CurrentSince Jan 8, 2021 Accepting new patients
Main Line Healthcare CurrentSince Jul 1, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.