Dr. Douglas W Carlson
MD | Pediatric Emergency Medicine | Male
Dr. Douglas W Carlson, MD is a Springfield, Illinois based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Douglas W Carlson is
301 N 8th St, Suite Pav4a, Springfield, Illinois - 62701-1041. He can be contacted on phone at
217-545-8000 and fax number 217-545-2303.
Dr. Douglas W Carlson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Douglas W Carlson is
1669490132 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 27 Sep, 2018.
Dr. Douglas W Carlson license number is
036-136399 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Illinois.
Dr. Douglas W Carlson has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Douglas W Carlson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Douglas W Carlson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Douglas W Carlson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 N 8th St, Suite Pav4a
Springfield, IL, 62701-1041
United States |
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| Phone Number : | 217-545-8000 |
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| Fax Number : | 217-545-2303 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669490132 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 27 Sep, 2018 |
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Medicare Participation:
Dr. Douglas W Carlson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4688705726 |
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| Medicare Enrollment ID : | I20141003001623 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Southern Illinois University School Of Medicine |
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| Graduation Year : | 1984 |
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| Accepts Medicare? | Yes. Dr. Douglas W Carlson accepts medicare insurance. |
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Group Practice Association:
Dr. Douglas W Carlson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Douglas W Carlson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Siu Physicians And Surgeons Inc | 2365352820 | 256 | 301 N 8th St
Springfield, IL - 627011041
Ph: 2175458000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Douglas W Carlson are as mentioned. Primary taxonomy code for Dr. Douglas W Carlson, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 036-136399 | IL |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 036-136399 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Douglas W Carlson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| $$$$$$$$$ | MEDICAID | IL | |
| 103810102 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19658
Springfield, IL, 62794-9658
United States |
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| Phone Number : | 217-545-8000 |
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| Fax Number : | 217-545-2303 |
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Business Location:
Patients can refer following map for directions to
Dr. Douglas W Carlson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.