Edward F Carlstrom, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME46678 Issued in FL

Practice address

2650 Bahia Vista St
Ste 207
Sarasota, FL 34239-2625

Phone

(941) 388-4408

NPI assigned

May 4, 2006

Last updated

Dec 28, 2016By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Krislaine Inc

  • General Practice Physician
  • Sarasota, FL
  • NPI 1649497447
  Authorized official Same address or phone
• St Armands Medical Center

  • Specialist
  • Sarasota, FL
  • NPI 1487602215
  Authorized official Same address or phone

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1942258637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "STE 207",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-388-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "STE 207",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-388-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSTROM",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME46678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "02410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Douglas Carle, D.C.
• Brian David Carlson, D.O.
• Janet Carlson, LCSW
• Loren Scott Carlson, DO
• Melissa Carlson, LCSW
• Aaron Carlton, PA-C
• Margaret Alice Carlton, PA-C
• Larissa Carmichael, A.P./D.O.M.
• Vanessa M Carmody
• Catherine A Carnahan, M.D.

• Specialist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.