JEFFREY LYNN CARLSON DPM NPI 1609027689

NPI Information

NPI: 1609027689
Provider Name: JEFFREY LYNN CARLSON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1000 MICHIGAN ST
SIDNEY, OH
ZIP 45365
Phone: (937) 492-1211
Get Directions

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	7054576-0501	UTAH	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	36003576	OHIO	Yes

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
1	4316922	MEDICARE PIN	OHIO
2	4316921	MEDICARE PIN	OHIO
3	4316923	MEDICARE PIN	OHIO
4	3133424	MEDICAID	OHIO

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

NPI Synchronization or Removal

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