Lawrence W Carlson III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

COA.04689-NA Issued in OH

Practice address

1050 Delaware Ave
Marion, OH 43302-6416

Phone

(740) 383-7778

Fax

(740) 375-8174

NPI assigned

May 15, 2006

Last updated

Jan 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Mr. Larry W Carlson III Other name

Medicare fee-for-service enrollment

Enrolled in OH, SC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329
• Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
• Avita Ontario Hospital, Ontario, OH, CCN 360365
• Galion Community Hospital Hospital, Galion, OH, CCN 361325

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: larrycrna.carlson.p2@direct.icanseeclearly.nextgenshare.com

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.

• Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
  • NPI 1477554475
  Medicare reassignment Care Compare group NPD
• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  Medicare reassignment NPD
• Bucyrus Community Hospital LLC

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1629372461
  Medicare reassignment NPD
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Medicare reassignment NPD
• Henry County Hospital Inc

  • Critical Access Hospital
  • Napoleon, OH
  • NPI 1407880909
  Medicare reassignment NPD
• Malabar Anesthesia Services Inc

  • Anesthesiology Physician
  • Mansfield, OH
  • NPI 1922497940
  Medicare reassignment
• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128
  Medicare reassignment
• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Care Compare group
• Blanchard Valley Regional Health Center

  dba Wound Care Solutions

  • Family Medicine Physician
  • Findlay, OH
  • NPI 1083665251
  NPD
• Blanchard Valley Regional Health Center

  dba Blanchard Valley Hospital

  • Rehabilitation Hospital Unit
  • Findlay, OH
  • NPI 1578336400
  NPD
• Blanchard Valley Regional Health Center

  dba Bluffton Hospital

  • Emergency Medicine Physician
  • Bluffton, OH
  • NPI 1588607949

  Nurse Anesthetist, Certified Registered

  NPD
• East Columbus Surgery Center LLC

  • Clinic/Center
  • Columbus, OH
  • NPI 1295708246
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  Care Compare affiliation
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Care Compare affiliation
• Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
  • NPI 1477554475
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1609827401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# L-3652",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432606052",
            "telephone_number": "740-383-7927",
            "fax_number": "740-383-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026416",
            "telephone_number": "740-383-7778",
            "fax_number": "740-375-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN277926",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.04689-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000205999",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150872",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430066223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "CARLSON",
            "middle_name": "W",
            "prefix": "MR.",
            "suffix": "III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Care Star
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• Monica Maria Carmona, MD
• Sydney Carr
• Mark Carroll, LPT
• Spencer Jonathan Carte

• Certified Registered Nurse Anesthetist in Marion, OH
• Providers in Marion, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.