Organization Active NPI

Carstensen Internal Medicine PLLC

  • Internal Medicine Physician
  • Key West, FL
National Provider Identifier
1699008102
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105681 Issued in FL
Legal business name
CARSTENSEN INTERNAL MEDICINE PLLC
Practice address
2505 Flagler Ave
Key West, FL 33040-3934
Phone
(305) 295-6790
Fax
(305) 328-8212
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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

Authorized official

Name
Dr. John August Carstensen, M.D.NPI 1851378012
Title
Sole Owner of PLLC
Phone
(305) 295-6790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME105681 FL Primary

Addresses

Primary practice location

2505 Flagler Ave
Key West, FL 33040-3934

Mailing address

731 Waddell Ave
Key West, FL 33040-4779
Phone (305) 517-6792

Other identifiers 1

IdentifierTypeStateIssuer
001716400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315699200000",
    "number": "1699008102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WADDELL AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404779",
            "telephone_number": "305-517-6792",
            "fax_number": "305-328-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403934",
            "telephone_number": "305-295-6790",
            "fax_number": "305-328-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSTENSEN INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2011-09-11",
        "status": "A",
        "authorized_official_last_name": "CARSTENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "SOLE OWNER OF PLLC",
        "authorized_official_telephone_number": "305-295-6790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001716400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; 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.