WALDO B CARLSON MD NPI 1356324214

NPI Information

  • NPI: 1356324214
  • Provider Name: WALDO B CARLSON, MD
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1707 S STEPHENSON AVE
    IRON MOUNTAIN, MI
    ZIP 49801
  • Phone: (906) 779-7111

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NPI Details

Waldo B Carlson, MD is a preventive medicine/occupational environmental medicine preventive medicine in Iron Mountain, MI. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Waldo B Carlson, MD NPI is 1356324214. 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:

1707 S STEPHENSON AVE
IRON MOUNTAIN, MI
ZIP 49801-637
Phone: (906) 779-7111

The NPI 1356324214 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 11/23/2005 and was last updated on 11/17/2022.

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
1207R00000XInternal Medicine4301043955MICHIGANNo
22083P0011XPreventive MedicineUndersea and Hyperbaric Medicine4301043955MICHIGANNo
32083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine4301043955MICHIGANYes

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
130551400MEDICAIDWISCONSIN
23228033MEDICAIDMICHIGAN
3110088084OTHERMICHIGANRR MEDICARE
43902200121OTHERMICHIGANBCBS MI

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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