Stephen Carlson, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30533 Issued in WA

Practice address

5437 S Quail Ridge Cir
Spokane, WA 99223-6390

Phone

(509) 939-1215

NPI assigned

Jul 31, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Dental Anesthesiologists

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1609484922
  NPD Authorized official
• Physician Anesthesia Group PS

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1023063278
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1689680530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 S QUAIL RIDGE CIR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236390",
            "telephone_number": "509-939-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 S QUAIL RIDGE CIR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236390",
            "telephone_number": "509-939-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042901",
            "country_code": "US",
            "telephone_number": "509-623-0428",
            "fax_number": "509-623-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "30533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8145948",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polly Thosath Carlson, MS
• Richard Harlan Carlson Jr.
• Scott Carlson, MD
• Shawnn Carlson, MA 60593496
• Shirley Joanne Carlson, P.T.
• Tara Carlson, M.S.
• Zachary T Carlson, M.D.
• Zachary Wayne Carlson, APRN
• Stephani Fae Carlton, LMHC
• Melissa Carmona

• Anesthesiology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.