Kathleen Loree Carlson, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

11624 Issued in OK

Practice address

7614 E 91St Street
Suite 100
Tulsa, OK 74133-6047

Phone

(918) 495-1144

Fax

(918) 495-3518

NPI assigned

Oct 4, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679668552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 E 91ST STREET",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336047",
            "telephone_number": "918-495-1144",
            "fax_number": "918-495-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 E 91ST STREET",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336047",
            "telephone_number": "918-495-1144",
            "fax_number": "918-495-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KATHLEEN",
        "middle_name": "LOREE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OK",
            "license": "11624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD",
            "identifier": "11624",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BUREAU OF NARCOTICS",
            "identifier": "14980",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF JUSTICE",
            "identifier": "AC8351873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Gomez-Meade DO PC
• Rhonda Carlos-Henderson, LPCC
• Alfred Carlozzi, ED.D.
• Brad Carlson, M.D.
• John Michael Carlson, D.O.
• Laurie Marie Carlson, BHR, MBA
• Meaghan Elyse Carlson
• Paul Stewart Carlson, MD
• David L Carlston, PHD
• Conor Carlton

• Gynecology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.