Jens Christian Carlsen DO PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

OS10946 Issued in FL

Legal business name

JENS CHRISTIAN CARLSEN DO PLLC

Practice address

2525 Harbor Blvd
Ste. 301
Port Charlotte, FL 33952-5317

Phone

(863) 448-6019

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Jens Carlsen, DONPI 1164669404

Title

Physician/Owner

Phone

(863) 448-6019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jens Christian Carlsen, DO

  • Urology Physician
  • Port Charlotte, FL
  • NPI 1164669404

  FL, Urology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1437697646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "STE. 301",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525317",
            "telephone_number": "863-448-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "STE. 301",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525317",
            "telephone_number": "863-448-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENS CHRISTIAN CARLSEN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "JENS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "863-448-6019",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "OS10946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Gadsden
• Jeffrey G. Bentson, M.D., PLLC
• Jeffrey Mark Greenberg MD PA
• Lian Jen, DO PA
• Jacelyn Jennings, M.O.T
• Alesha Jewett, LMHC
• Raldic Jimenez Lluberes, CRNA
• Gloria Macario Jimenez, PTA
• Ismenia L Jocik Ramon
• Joe Butler Jr MD PA

• All providers in Port Charlotte, FL
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.