Individual provider Active NPI

Annamay D Carlson, DO

  • General Practice Physician
  • Independence, MO
National Provider Identifier
1477753069
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R7A22 Issued in MO
Practice address
4419 S Crysler Ave
Independence, MO 64055-5948
Phone
(816) 356-0400
Fax
(816) 356-0477
NPI assigned
Jul 20, 2007
Last updated
Sep 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R7A22 MO Primary

Addresses

Primary practice location

4419 S Crysler Ave
Independence, MO 64055-5948

Mailing address

4419 S Crysler Ave
Independence, MO 64055-5948
Phone (816) 356-0400

Other names 1

  • Dr. Annamay D Carlson Professional name

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R7A22MOMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Williams, D.O.,P.C. General Practice Past Accepting new patients
Midwest Medicine Associates LLC Past Accepting new patients

Organizations & group practices 2

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1477753069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 S CRYSLER AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555948",
            "telephone_number": "816-356-0400",
            "fax_number": "816-356-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 S CRYSLER AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555948",
            "telephone_number": "816-356-0400",
            "fax_number": "816-356-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANNAMAY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R7A22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAMAY",
            "last_name": "CARLSON",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.