Active NPI
Robert A Carlson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Scarborough, ME
National Provider Identifier
1972690907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD23532
- Practice address
- 301A US Route 1
Scarborough, ME 04074-9701 - Phone
- (156) 560-2560
- NPI assigned
- Oct 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 01104300 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD23532 | ME | Primary |
Addresses
Primary practice location
301A US Route 1
Scarborough, ME 04074-9701
Mailing address
301 US Route 1 Ste a
Scarborough, ME 04074-4401
Phone (715) 650-2560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282992 | Other | NY | NEW YORK MEDICAL LICENSE |
| 30814900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102003025 | ME | Practitioner - Pathology | 4789597675 | Reassigns benefits to 2 organizations |
| I20250124002978 | NH | Practitioner - Pathology | 4789597675 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Healthcare Partners PA
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 753-2251
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Mainehealth Pen Bay Hospital
- Memorial Hospital, the
- Mainehealth Mid Coast Hospital
- Mainehealth Waldo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01104300 | MI | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, PA | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
Anatomic Pathology & Clinical Pathology, ME
Hospital & facility affiliations 44
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1972690907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 US ROUTE 1 STE A",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040744401",
"telephone_number": "715-650-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301A US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749701",
"telephone_number": "156-560-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "MI",
"license": "01104300",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "ME",
"license": "MD23532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK MEDICAL LICENSE",
"identifier": "282992",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30814900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.