Individual
JAY W CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2055 S FREMONT AVE, STE 200, SPRINGFIELD, MO 65804-2206
(417) 820-3554
(417) 820-3587
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
2011006588
MO
207VX0201X
Gynecologic Oncology Physician
4038
IA
207VX0201X
Gynecologic Oncology Physician
JC015918
MI
2086X0206X
Surgical Oncology Physician
4038
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194835181
—
MO
05
—
187019003
—
AR
05
—
200454170A
—
OK
Enumeration date
08/30/2006
Last updated
03/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us