Rodney Lynden Carlson, DPM
Individual provider Active NPI Podiatrist · Eaton, OH
NPI 1386672947 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1386672947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 36.003212 (OH)
- Practice address
- 550 Hallmark Dr
Eaton, OH 45320-8648 - Phone
- (937) 848-6676
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encore Clinical Services LLC
Healthdrive Podiatry Group PC
Practice addresses (Care Compare)
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750
655 Metro PL S
Suite 600
Dublin, OH 43017-3394
Phone (888) 964-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1102 |
| Removal or shaving of skin growth | 175 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080314000080 | OH | Practitioner - Podiatry | 2264517291 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3212 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Effect Health | Current | Accepting new patients | |
| Encore Clinical Services LLC | Podiatrist | Current |
Accepting new patients |
| Healthdrive Podiatry Group, PC | Podiatrist | Current |
Accepting new patients |
| Wound Care Consultants LLC | Podiatrist | Current |
Accepting new patients |
| Dixie a. Dooley, DPM, Inc. | Past | Accepting new patients |
Locations
655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578
12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.003212 | OH | Yes |
Addresses
Primary practice location
550 Hallmark Dr
Eaton, OH 45320-8648
Mailing address
1342 Cheatham Way
Bellbrook, OH 45305
Phone (937) 848-6676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2223249 | Medicaid | OH |
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.