JONATHAN D. CARLSON M.D. – NPI #1538206644
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

JONATHAN CARLSON is a physician located in KAILUA, HI. NPPES has assigned the NPI number 1538206644 to JONATHAN CARLSON on January 30, 2007. 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 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 5 years ago on Dec 08, 2020. 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 JONATHAN CARLSON below.

NPI Profile for
JONATHAN D. CARLSON

NPI Number
1538206644
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN D. CARLSON
Credentials
M.D.
Primary location
40 AULIKE ST STE 411
KAILUA, HI 96734-2757
Phone: (808) 452-1379 Fax: (808) 201-4961
1 Other location(s):
40 Aulike St
Kailua, HI 96734-2758
Phone: (808) 744-6638
Mailing address
1670 MAKALOA ST # 204-321
HONOLULU, HI 96814-3232
Phone: (808) 452-1379 Fax: (808) 201-4961
Sole Proprietor
No
Updated
Certification Date
Dec 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JONATHAN 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
OTHERAZ LICAZ41788
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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)		 AZ 41788
207LP2900X
- Anesthesiology / Pain Medicine		 AZ 41788
207L00000X
- Anesthesiology		 CA A95611

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.

Additional Information

Education
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE - Graduated 2004
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JONATHAN CARLSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH CASTLE
      640 ULUKAHIKI ST
      KAILUA, HI 96734
    • PROV SACRED HRT MED CTR & CHILDS HOSP.
      101 WEST 8TH AVENUE
      SPOKANE, WA 99204

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.