Active NPI
Terry Carlson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Wichita, KS
National Provider Identifier
1720063183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04-18087
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-2877
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-18087 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
PO Box 47340
Wichita, KS 67201-7340
Phone (316) 685-6112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025046 | Other | KS | BCBS OF KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18087 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720063183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47340",
"city": "WICHITA",
"state": "KS",
"postal_code": "672017340",
"telephone_number": "316-685-6112",
"fax_number": "316-652-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-18087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KS",
"identifier": "025046",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.