Individual provider Active NPI

Beth Luanne Carlson, PA-C

  • Physician Assistant
  • Coraopolis, PA
National Provider Identifier
1902812027
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003087L Issued in PA
Practice address
935 Thorn Run Rd
Suite 204
Coraopolis, PA 15108-2861
Phone
(412) 299-8400
NPI assigned
Jul 31, 2006
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003087L PA Primary

Addresses

Primary practice location

935 Thorn Run Rd
Suite 204
Coraopolis, PA 15108-2861

Mailing address

935 Thorn Run Rd
Suite 204
Coraopolis, PA 15108-2861
Phone (412) 299-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000616 PA Practitioner - Physician Assistant 1850477183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003087LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jan 19, 2009 Accepting new patients

Locations

99 Buss Rd
Aliquippa, PA 15001
Phone (724) 378-6640

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

935 Thorn Run Rd
Ste 204
Moon Township, PA 15108
Phone (412) 299-7400

1030 3rd Ave
New Brighton, PA 15066
Phone (724) 770-4050

Interoperability endpoints

  • Direct secure messaging: bethcarlson@hvhs.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1902812027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "address_2": "SUITE 204",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-299-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "address_2": "SUITE 204",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-299-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BETH",
        "middle_name": "LUANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003087L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.