John D. Carlson MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0051484 Issued in FL

Legal business name

JOHN D. CARLSON MD

Practice address

492 North Wilson Street
Crestview, FL 32536

Phone

(850) 682-5332

Fax

(850) 683-5333

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

John Dale Carlson, MD

Title

Owner

Phone

(850) 682-5332

Specialties & licenses 1

Addresses

Tax ID family

John D Carlson MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Womans Clinic

  • Exclusive Provider Organization
  • Crestview, FL
  • NPI 1922255967
  NPD tax ID

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1679846166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 NORTH WILSON STREET",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-682-5332",
            "fax_number": "850-683-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 NORTH WILSON STREET",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-682-5332",
            "fax_number": "850-683-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. CARLSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-682-5332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0051484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Jenkins
• Tanya Tamika Jenkins, FNP
• Jennifer H Wayer DMD PA
• Darlene Ivonne Jester
• Tana H Jeter, M.A, CCC-SLP
• Jessica L Johnson Simmons
• Adrianne R Johnson
• Christina Cerise Johnson, ARNP
• Jasmine Johnson
• John T. Johnson, M.D.

• Specialist in Crestview, FL
• Providers in Crestview, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.