JEFFREY LYNN CARLSON DPM NPI 1609027689

NPI Information

  • NPI: 1609027689
  • Provider Name: JEFFREY LYNN CARLSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 MICHIGAN ST
    SIDNEY, OH
    ZIP 45365
  • Phone: (937) 492-1211

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NPI Details

Jeffrey Lynn Carlson, DPM is a foot and ankle surgery podiatrist in Sidney, OH. Jeffrey Lynn Carlson, DPM NPI is 1609027689. 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:

1000 MICHIGAN ST
SIDNEY, OH
ZIP 45365-404
Phone: (937) 492-1211
Fax: (937) 492-6557

The NPI 1609027689 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 10/8/2008 and was last updated on 7/26/2011.

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 Surgery7054576-0501UTAHNo
2213ES0103XPodiatristFoot & Ankle Surgery36003576OHIOYes

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
14316922MEDICARE PINOHIO
24316921MEDICARE PINOHIO
34316923MEDICARE PINOHIO
43133424MEDICAIDOHIO

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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