Individual provider Active NPI

Lawrence Algot Carlsson Jr., MD

  • Family Medicine Physician
  • Plattsmouth, NE
National Provider Identifier
1467562819
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13639 Issued in NE
Practice address
2302 8TH Ave
Suite 3
Plattsmouth, NE 68048-2365
Phone
(402) 296-4453
Fax
(402) 296-5154
NPI assigned
Aug 30, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13639 NE Primary

Addresses

Primary practice location

2302 8TH Ave
Suite 3
Plattsmouth, NE 68048-2365

Mailing address

2302 8TH Ave
Suite 3
Plattsmouth, NE 68048-2365
Phone (402) 296-4453

Other identifiers 1

IdentifierTypeStateIssuer
47071211212MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians of Plattsmouth Family Medicine CurrentSince Jan 1, 1977 Accepting new patients

Locations

2302 8th Ave
Ste 3
Plattsmouth, NE 68048
Phone (402) 296-4451

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1467562819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 8TH AVE",
            "address_2": "SUITE 3",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482365",
            "telephone_number": "402-296-4453",
            "fax_number": "402-296-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 8TH AVE",
            "address_2": "SUITE 3",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482365",
            "telephone_number": "402-296-4453",
            "fax_number": "402-296-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSSON",
        "first_name": "LAWRENCE",
        "middle_name": "ALGOT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "13639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47071211212",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.