Individual provider Active NPI

Eric Carlson, DO

  • Family Medicine Physician
  • Riverton, UT
National Provider Identifier
1992384671
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14230691-1204 Issued in UT
Practice address
3723 W 12600 S Ste 430
Riverton, UT 84065-7310
Phone
(801) 285-4200
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14230691-1204 UT Primary
Family Medicine Physician 207Q00000X 005994 KY

Addresses

Primary practice location

3723 W 12600 S Ste 430
Riverton, UT 84065-7310

Mailing address

3723 W 12600 S Ste 430
Riverton, UT 84065-7310
Phone (801) 285-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230216001087 KY Practitioner - Family Practice 9931582350 Reassigns benefits to 4 organizations
I20250812004323 UT Practitioner - Geriatric Medicine 9931582350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

3723 W 12600
Suite 430
Riverton, UT 84065-7310
Phone (801) 285-4200

Hospital & facility affiliations

  • Intermountain Homecare Home Health Salt Lake Home health agency, South Jordan, UT, CCN 467030
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005994KYMDFamily Medicine Physician
14230691-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Sep 1, 2023 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince Oct 11, 2024 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Ohio County Hospital Corporation CurrentSince Sep 1, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 31, 2025 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2025 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Aug 31, 2025 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Deaconess Hospital Inc PastSince Jun 30, 2024 Accepting new patients

Locations

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

811 E Parrish Ave
Ste 102
Owensboro, KY 42303
Phone (270) 688-1228

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3723 W 12600 S
Ste 430
Riverton, UT 84065
Phone (801) 285-4200

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1992384671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 W 12600 S STE 430",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657310",
            "telephone_number": "801-285-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 W 12600 S STE 430",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657310",
            "telephone_number": "801-285-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ERIC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "14230691-1204",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "005994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.