NPIMap

Individual provider Active NPI

Scott Carlson, M.D.

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1356667513
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.121654 Issued in OH
Practice address
234 Goodman St., ML 665X
Hoxworth Medicine-Pediatrics Clinic
Cincinnati, OH 45219
Phone
(513) 584-7425
Fax
(513) 584-7681
NPI assigned
Apr 13, 2010
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.121654 OH
Pediatrics Physician 208000000X 35.121654 OH Primary

Addresses

Primary practice location

234 Goodman St., ML 665X
Hoxworth Medicine-Pediatrics Clinic
Cincinnati, OH 45219

Mailing address

234 Goodman St., ML 665X
Hoxworth Medicine-Pediatrics Clinic
Cincinnati, OH 45219
Phone (513) 584-7425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000690 OH Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9032332572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

2150 Marble Cliff Office Park
Suite a
Columbus, OH 43215-1056
Phone (614) 627-1640

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Internal Medicine CurrentSince Aug 31, 2015 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Aug 31, 2015 Accepting new patients
UC Health Past Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

6150 E Broad St
Rm WD210
Columbus, OH 43213

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: scarlson1147889@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1356667513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST., ML 665X",
            "address_2": "HOXWORTH MEDICINE-PEDIATRICS CLINIC",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-584-7425",
            "fax_number": "513-584-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST., ML 665X",
            "address_2": "HOXWORTH MEDICINE-PEDIATRICS CLINIC",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-584-7425",
            "fax_number": "513-584-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.121654",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.121654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.