Jay W Carlson
Gynecologic Oncologist Surgical Oncologist
2055 S Fremont Ave Ste 200
Springfield
, Missouri 65804-2206
Jay W Carlson
Gynecologic Oncologist Surgical Oncologist
2055 S Fremont Ave Ste 200
Springfield
, Missouri 65804-2206
(417) 829-4620
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About
Features
Specialties
- Gynecologic Oncologist
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Jay W Carlson
- Po Box 2580
- Springfield, MO
- Zip : 65801-2580
- Phone : (417) 829-4620
Second Address
- Jay W Carlson
- 2055 S Fremont Ave Ste 200
- Springfield, MO
- Zip : 65804-2206
- Fax : (417) 820-3587
- Phone : (417) 820-3554
Reviews
FAQs
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What type of doctor is Jay W Carlson
In what state does Jay W Carlson practice in?
Where is Jay W Carlson ’s practice located?
What is Jay W Carlson ’s gender?
Is Jay W Carlson a sole practitioner?
Is Jay W Carlson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 2011006588 | MO |
| N | 207VX0201X | Gynecologic Oncologist | 4038 | IA |
| N | 207VX0201X | Gynecologic Oncologist | JC015918 | MI |
| N | 2086X0206X | Surgical Oncologist | 4038 | IA |
National Provider Identifier
| NPI | 1194835181 |
|---|---|
| Provider Name | Jay W Carlson |
| First Address | Springfield, MO 65801-2580 |
| Second Address | Springfield, MO 65804-2206 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 30/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1194835181 | (05) | MO |
| 187019003 | (05) | AR |
| 200454170A | (05) | OK |
| E96375 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.