Robert E. Carlson, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00036284 Issued in WA

Practice address

122 3Rd St NE
Auburn, WA 98002-4013

Phone

(253) 833-7750

Fax

(253) 833-7469

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Surgery Associates, PLLC

  • Specialist
  • Auburn, WA
  • NPI 1215985502
  NPD
• Cascade Surgery Associates, PLLC

  • Specialist
  • Bonney Lake, WA
  • NPI 1558327601
  NPD

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1487632683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750",
            "fax_number": "253-887-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750",
            "fax_number": "253-833-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00036284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8227696",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CA3785",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "123239",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Sean Capoeman, L.M.P.
• Cardiovascular Consultants
• Careride Express LLC
• Amy Kristine Carey, RN
• Jennifer-Crystal Carlisle
• Brett Carnduff
• John B Carpenter, DDS
• Thomas Michael Carpino, SUDPT
• Guiller Augustin Cea Carpio, MSN,DNM,ARNP,FNP-C
• Savannah Jo Rose Carr

• Specialist in Auburn, WA
• Providers in Auburn, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.