JAY W CARLSON D.O. NPI 1194835181

NPI Information

  • NPI: 1194835181
  • Provider Name: JAY W CARLSON, D.O.
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Individual
  • Address: 2055 S FREMONT AVE
    STE 200
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-3554

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NPI Details

Jay W Carlson, D.O. is a gynecologic oncology obstetrics gynecology in Springfield, MO. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Jay W Carlson, D.O. NPI is 1194835181. 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:

2055 S FREMONT AVE
STE 200
SPRINGFIELD, MO
ZIP 65804-206
Phone: (417) 820-3554
Fax: (417) 820-3587

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/30/2013.

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
12086X0206XSurgerySurgical Oncology4038IOWANo
2207VX0201XObstetrics & GynecologyGynecologic Oncology4038IOWANo
3207VX0201XObstetrics & GynecologyGynecologic OncologyJC015918MICHIGANNo
4207VX0201XObstetrics & GynecologyGynecologic Oncology2011006588MISSOURIYes

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
1187019003MEDICAIDARKANSAS
21194835181MEDICAIDMISSOURI
3200454170AMEDICAIDOKLAHOMA
4E96375MEDICARE UPINMISSOURI

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: 11/21/2025

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