George Carlson, MD

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

MD3884 Issued in HI

Practice address

645 Laniolu PL
Kihei, HI 96753-9343

Phone

(808) 879-6121

Fax

(808) 879-0500

NPI assigned

Jun 5, 2007

Last updated

Jul 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aloha House, Inc.

  • Mental Health Counselor
  • Kahului, HI
  • NPI 1972647477
  Medicare reassignment NPD
• Comprehensive Health and Attitude Management Programs Inc

  • Methadone Clinic
  • Honolulu, HI
  • NPI 1184760985
  Medicare reassignment NPD
• Comprehensive Health and Attitude Management Programs Inc

  dba Champ Clinic Inc

  • Methadone Clinic
  • Wailuku, HI
  • NPI 1770624074
  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1598967119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967930888",
            "telephone_number": "808-879-8716",
            "fax_number": "808-879-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 LANIOLU PL",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967539343",
            "telephone_number": "808-879-6121",
            "fax_number": "808-879-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "HI",
            "license": "MD3884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y051675",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Caffiero
• Cally L. Adams, DDS, LLC
• Jill D Capistran
• Bianca Cappello, RBT
• Chayce Oswaldo Cardenas
• Michelle Lee Carpenter, RN
• Antoinette Castillo Nascimento
• Vanessa Castro
• Tristan Catan, RBT
• Cathy J Hembd LLC

• Anesthesiology Physician in Kihei, HI
• Providers in Kihei, HI by specialty
• Anesthesiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.