Individual provider Active NPI

John Clifford Carlson, MD, PHD

  • Allergy & Immunology Physician
  • New Orleans, LA
National Provider Identifier
1700058310
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD.200766 Issued in LA
Practice address
1430 Tulane Ave # SL-37
New Orleans, LA 70112-2632
Phone
(504) 988-5456
Fax
(504) 988-1771
NPI assigned
Mar 24, 2008
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD.200766 LA Primary
Pediatrics Physician 208000000X MD.200766 LA

Addresses

Primary practice location

1430 Tulane Ave # SL-37
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave # SL-37
New Orleans, LA 70112-2632
Phone (504) 988-5456

Other identifiers 2

IdentifierTypeStateIssuer
1069612MedicaidLA
01870255MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000793 LA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1759414048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD.200766LAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 1, 2015 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2010 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2010 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2015 Accepting new patients
Access Health Louisiana Pediatrics Past Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana PastSince Sep 13, 2020 Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients
Access Health Louisiana Pediatrics Past Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana Past Accepting new patients

Locations

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-3260

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#37
New Orleans, LA 70112
Phone (504) 988-5456

1514 Jefferson Hwy
New Orleans, LA 70121

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Interoperability endpoints

  • Direct secure messaging: jcarlson298277@direct.ochsner.org
  • Direct secure messaging: john.carlson.1@11331.direct.athenahealth.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1700058310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-37",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5456",
            "fax_number": "504-988-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-37",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5456",
            "fax_number": "504-988-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "CLIFFORD",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "MD.200766",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.200766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069612",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01870255",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.