NPIMap

Individual provider Active NPI

Eric A Carlson, MD

  • Medical Oncology Physician
  • Joplin, MO
National Provider Identifier
1417926015
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2023028881 Issued in MO
Practice address
3415 McIntosh Cir
Joplin, MO 64804-3651
Phone
(417) 347-4000
NPI assigned
Mar 16, 2006
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 0424120 KS
Medical Oncology Physician 207RX0202X 2023028881 MO Primary

Addresses

Primary practice location

3415 McIntosh Cir
Joplin, MO 64804-3651

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050117000518 KS Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 2860380995 Reassigns benefits to 1 organization
I20230815001925 MO Practitioner - Hematology/Oncology 2860380995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

1201 E Centennial Dr
Pittsburg, KS 66762-6623
Phone (620) 231-3132

3415 McIntosh Cir
Joplin, MO 64804-3651
Phone (417) 347-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0424120KSMDMedical Oncology Physician
2023028881MOMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System CurrentSince Aug 14, 2023 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients
Medical Associates of Manhattan, PA Past Accepting new patients

Locations

100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750

1201 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 231-0204

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

3415 McIntosh Cir
Joplin, MO 64804
Phone (417) 347-4000

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

Interoperability endpoints

  • Direct secure messaging: ecarlson122907@stormontvaildirect.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 4

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1417926015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 MCINTOSH CIR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043651",
            "telephone_number": "417-347-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ERIC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KS",
            "license": "0424120",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2023028881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.