Thomas K Carlson, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301068161 Issued in MI

Practice address

2525 5TH Ave S
Escanaba, MI 49829-1204

Phone

(906) 786-6047

Fax

(906) 786-0660

NPI assigned

May 1, 2006

Last updated

Dec 27, 2011By 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 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1699732834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 5TH AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291204",
            "telephone_number": "906-786-6047",
            "fax_number": "906-786-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 5TH AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291204",
            "telephone_number": "906-786-6047",
            "fax_number": "906-786-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "THOMAS",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301068161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0402100422",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3257840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "CG4010",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4198743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Hands of Upper Michigan
• Catherine Carlson, LBSW
• Heather Carlson
• Kathryn Elena Carlson, PMHNP
• Michael Carlson, DC
• Carlyon Dentistry
• Bruce R Carlyon, DDS
• Jennifer L Caron
• Kathryn Anne Carroll
• Dorothea Margaret Case, CRNA

• Otolaryngology Physician in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.