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JOANNE L CARLSON MD NPI 1073577938


NPI Information

NPI: 1073577938
Provider Name: JOANNE L CARLSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
655 W 8TH ST
UFJP PEDIATRIC DEPT.
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-3050
Get Directions

Joanne L Carlson, MD is a pediatrics in Jacksonville, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Joanne L Carlson, MD NPI is 1073577938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

655 W 8TH ST
UFJP PEDIATRIC DEPT.
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-3050

The NPI 1073577938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 1/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME97112FLORIDAYes
2208000000XPediatrics224192MASSACHUSETTSNo
3208M00000XHospitalistME97112FLORIDANo
4208M00000XHospitalistME98112FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12778378-00MEDICAIDFLORIDA
2679675487BMEDICAIDFLORIDA
3I19695MEDICARE UPIN
493557OTHERFLORIDABCBS
5679675487CMEDICAIDGEORGIA
6277837800MEDICAIDFLORIDA
7AE232YMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.