JAY W. CARLSON D.O. – NPI #1194835181
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

JAY CARLSON is a physician located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1194835181 to JAY CARLSON on August 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 13 years ago on Mar 30, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAY CARLSON below.

NPI Profile for
JAY W. CARLSON

NPI Number
1194835181
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAY W. CARLSON
Credentials
D.O.
Primary location
2055 S FREMONT AVE
STE 200
SPRINGFIELD, MO 65804-2206
Phone: (417) 820-3554 Fax: (417) 820-3587
Mailing address
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone: (417) 829-4620 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JAY CARLSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR187019003
MEDICAIDMO1194835181
MEDICAIDOK200454170A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
MI JC015918
2086X0206X
- Surgery / Surgical Oncology
IA 4038

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.