Maryann Carlson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4176 Issued in MT

Practice address

PO Box 1459
Columbia Falls, MT 59912-1459

Phone

(406) 892-3208

NPI assigned

Feb 23, 2006

Last updated

Dec 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Maryann Carlson Professional name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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 & Hands Midwifery and Family Healthcare PLLC

  • Advanced Practice Midwife
  • Kalispell, MT
  • NPI 1023518503
  Medicare reassignment NPD
• Logan Health - Whitefish

  dba Logan Health Rural Health Clinic- Eureka

  • Rural Health Clinic/Center
  • Eureka, MT
  • NPI 1336115849
  NPD (past)
• Professional Center LLP

  • Specialist
  • Columbia Falls, MT
  • NPI 1942361258
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1356317010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31585",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591071585",
            "telephone_number": "406-752-3239",
            "fax_number": "406-752-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599121459",
            "telephone_number": "406-892-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MARYANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4176",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "4176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OB PHYS GRP",
            "identifier": "0000095390",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102782",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "CARLSON",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacquelyn R Bullock, DPT
• Busybee IV (BusyBee IV Hydration and Wellness)
• Dean W Calderwood
• Meghan Caldwell, RPH
• Leah J Carlburg, MD
• Caleb Chuang, DPT
• Robert Clase, DPM
• Brittany Jean Coburn, NP-C
• Colleen D Johnson, Counseling, LLC
• Kelly Ann Coloff

• Family Medicine Physician in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.