Organization Active NPI

Thomas E. Carson,MD,PA

  • Clinical Medical Laboratory
  • Tarpon Springs, FL
National Provider Identifier
1487063608
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D0681094 Issued in FL
Legal business name
THOMAS E. CARSON,MD,PA
Practice address
1259 S Pinellas Ave
Tarpon Springs, FL 34689-3719
Phone
(727) 938-1908
Fax
(727) 938-8693
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Thomas Carson, MDNPI 1427058791
Title
President/Physician
Phone
(727) 938-1908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D0681094 FL Primary

Addresses

Primary practice location

1259 S Pinellas Ave
Tarpon Springs, FL 34689-3719

Mailing address

1259 S Pinellas Ave
Tarpon Springs, FL 34689-3719
Phone (727) 938-1908

Other identifiers 1

IdentifierTypeStateIssuer
002575200MedicaidFL

Other names 1

  • CARSON FAMILY CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1259 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 938-1908

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1487063608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893719",
            "telephone_number": "727-938-1908",
            "fax_number": "727-938-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893719",
            "telephone_number": "727-938-1908",
            "fax_number": "727-938-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. CARSON,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "727-938-1908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D0681094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002575200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARSON FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.