Jessica A. Carlson
Family Medicine

Address: 515 E Broadway Ave, Bismarck, ND 58501-4407
Phone: 7017519500

Jessica A. Carlson (NPI# 1265685432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265685432
Entity Type Individual
Full Name Jessica A. Carlson
Credential MD
Gender Female
Practice Address 515 E Broadway Ave
Bismarck
ND 58501-4407
Practice Telephone 7017519500
Practice Fax Number 7017519508
Mailing Address 515 E Broadway Avenue
Bismarck
ND 58501-4491
Mailing Telephone 7017519500
Mailing Fax Number 7017519508
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-10-31
Last Update Date 2011-08-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians TRL 11042 ND

Other Provider Identifier

State Identifier Issuer Type Code
ND 12083 MEDICAID

Other Providers JESSICA CARLSON

NPI Name Taxonomy Address Enumeration
1386959153 Jessica Lynne Carlson Occupational Therapist 475 E Waterfront Dr, Homestead, PA 15120-1144 2010-08-17
1942533146 Jessica C Carlson Counselor 75 Central Ave, Lewiston, ME 04240-6031 2009-09-08
1811199649 Jessica Ann Carlson Counselor 1073 Willa Springs Dr, Suite 1041, Winter Springs, FL 32708-6623 2007-06-04
1558330852 Jessica Lorraine Carlson Internal Medicine 920 East 28th Street Suite # 190, Minneapolis, MN 55407 2006-03-17
1861910457 Jessica Carlson Nurse Anesthetist, Certified Registered 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 2017-09-02
1700123213 Jessica Carlson Physical Therapist 1952 E 7000 S, Salt Lake City, UT 84121-6877 2013-01-04
1659615086 Jessica Ann Carlson Pharmacist 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 2012-11-26
1043563638 Jessica T Carlson Nurse Practitioner 19343 Sunshine Ave, Covington, LA 70433-8834 2012-10-19
1487940318 Jessica R Carlson Surgery 94220 4th St, Gold Beach, OR 97444-7756 2011-06-20
1518110972 Jessica C. Carlson Counselor 1975 Martha Ave, Idaho Falls, ID 83404-7580 2008-10-29

Physician Overview

NPI 1265685432
PAC ID by PECOS 7517133937
Professional Enrollment ID I20120105000461
Full Name Jessica A Carlson
Organization Legal Name SANFORD BISMARCK
Phone Number 7013236400
Gender F
Medical School UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 9739098575
Number of Group Practice Members 348
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
350015 SANFORD MEDICAL CENTER BISMARCK

Office Location

Street Address 515 E BROADWAY AVE
City BISMARCK
State ND
Zip Code 58501-4407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073719399 Jennifer Amber Beckwith Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4407 2007-06-24
1114461340 Connie Jo Kadrmas Nurse Practitioner 515 E Broadway Ave, Bismarck, ND 58501 2016-12-07
1720413966 Erin M Schwinkendorf Nurse Practitioner 515 E Broadway Ave, Bismarck, ND 58501-4407 2013-09-06
1659550549 Ravi Kukreja Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4491 2007-10-29
1164601050 Richa Kauskik Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4491 2007-10-29
1649469255 University of North Dakota Clinic/Center 515 E Broadway Ave, Bismarck, ND 58501-4407 2007-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649740630 Stephanie Marie Simburger Social Worker 3111 East Broadway Ave, Bismarck, ND 58501 2018-12-03
1679042519 Prairie Rose Family Dentists Dentist 1110 College Dr., Suite 110, Bismark, ND 58501 2018-11-21
1881162972 White Drug Co of Jamestown Inc Pharmacy 900 Ne 43rd Ave, Bismarck, ND 58501 2018-11-06
1386111276 Arielle Joy Flynn Genetic Counselor, MS 414 N Seventh Street, Bismarck, ND 58501 2018-10-29
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1518457811 Myckenzie Saari Behavior Technician 1929 N Washington St., Bismarck, ND 58501 2018-05-14
1710403811 Kayla Marie Watson Behavior Technician 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 2017-08-21
1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
1144670019 Bismarck Psychological Associates, Pllc Psychologist 107 W. Main Ave., Suite 225, Bismarck, ND 58501 2016-06-21
1891149472 Jill Marie Place Massage Therapist 425 South 7th St, Southridge Chiropractic, Bismarck, ND 58501 2016-04-20
Find all providers in zip 58501

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730564402 Reagan Simpson Family Medicine 701 E Rosser Ave., Bismarck, ND 58501-4461 2015-07-23
1083942304 Linda P Svec Family Medicine 2900 E Broadway Ave Ste 1, Bismarck, ND 58501-5184 2009-11-24
1891951992 Natalia Brown Family Medicine 515 E. Broadway Ave., Bismarck, ND 58501-4491 2008-07-29
1457517542 Joy Ann Froelich Family Medicine 4535 Northern Sky Drive, Bismarck, ND 58503 2008-07-29
1588826747 Herbert J. Wilson Family Medicine 1244 W Coulee Rd, Bismarck, ND 58501-1245 2008-06-30
1073719399 Jennifer Amber Beckwith Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4407 2007-06-24
1134251044 Darren Duane Carter Family Medicine 411 N 4th St, Suite 5, Bismarck, ND 58501-4078 2007-03-09
1881739977 Medcenter One Inc Family Medicine 1040 Tacoma Ave, Bismarck, ND 58504 2007-02-20
1326103920 Medcenter One Inc Family Medicine 3318 N. 14th St, Bismarck, ND 58503 2006-12-26
1457422883 Michelle R Tincher Family Medicine 2830 N Washington St, Bismarck, ND 58503-1482 2006-11-09
Find all providers in BISMARCK

Competitor

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City BISMARCK
Zip Code 58501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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