DR. RUSSELL MARTIN CARLSON DPM NPI 1023271137

NPI Information

  • NPI: 1023271137
  • Provider Name: DR. RUSSELL MARTIN CARLSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 520 VALLEY VIEW DR
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 762-3621

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NPI Details

DR. Russell Martin Carlson, DPM is a foot and ankle surgery podiatrist in Moline, IL with 17 years of experience. DR. Russell Martin Carlson, DPM NPI is 1023271137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265-152
Phone: (309) 762-3621
Fax: (309) 762-3690

The NPI 1023271137 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).

The enumeration date for this NPI number is 7/8/2008 and was last updated on 5/6/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery135000650ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209395030MEDICARE PINILLINOIS
2578210030MEDICARE PINIOWA

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: 3/30/2025

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