CLARENCE ROY CARLSON JR. D.O.
NPI 1124007521
Emergency Medicine in Albert Lea, MN
NPI Status: Active since January 13, 2006
Contact Information
404 W FOUNTAIN ST
ALBERT LEA, MN
ZIP 56007
Phone: (507) 373-2384
- Individual
- Male
- Emergency Medicine
About CLARENCE CARLSON
This page provides the complete NPI Profile along with additional information for Clarence Carlson, a provider established in Albert Lea, Minnesota with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1124007521 assigned on January 2006. The practitioner's primary taxonomy code is 207P00000X with license number 34377 (MN). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1124007521
- Provider Name
- CLARENCE ROY CARLSON JR. D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 404 W FOUNTAIN ST ALBERT LEA, MN 56007
- Location Phone
- (507) 373-2384
- Mailing Address
- 375 OAK ST APT. 7 EMMONS, MN 56029
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-13-2006
- Last Update Date
- 04-11-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34377
- License State
- MN
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 930002258 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | |
| 458507100 | MEDICAID (05) | MN | |
| D60791 | MEDICARE UPIN (02) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 0 | 7 | 5 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 0 | 14 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 0 + 1 + 4 + 5 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1124007521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871571851 | LISE HOLM AASHEIM M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1699754093 | RICHARD ALLEN BURINGA C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1063491496 | HATEM MOHAMMED ELHAGALY M.D. Individual | Pediatrics | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1861471187 | BEVERLY ALMS LOMBARDI M.D. Individual | Internal Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1023097342 | JEFFREY PAUL LOTTS M.D. Individual | Surgery | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1457330847 | DUARD DEWAYNE BIRKHOFER M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1619956919 | CATHY SCHMIDT KLICK RN CNP Individual | Nurse Practitioner | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1770562027 | JOHN CHARLES DOOLEY JR. M.D. Individual | Radiology (Diagnostic Radiology) | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1740269919 | RITA CAROLYN KORMAN C.P.N.P., I.B.C.L.C. Individual | Nurse Practitioner (Pediatrics) | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1902885171 | CRAIG MANWELL MCCORMICK O.D. Individual | Optometrist | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1619956885 | CARLA MARIE MEHELICH-UBBEN PA-C Individual | Physician Assistant | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1447239645 | JULIAN RICHARD WAGGONER III M.D. Individual | Anesthesiology | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1629057898 | BARBARA JO MEEK-THUE R.N. C.N.P. Individual | Nurse Practitioner | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1417936683 | JUDITH L MYERS CRNA Individual | Nurse Anesthetist, Certified Registered | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1063491256 | EDWARD REECE SHAMAN M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1407835606 | SHARON FAYE SWANSON-HAAPALA PSYD Individual | Psychologist | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1497735534 | DONALD J.F. KAMMERER M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1912986092 | NANCY ANNE FELL PA-C Individual | Physician Assistant | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1265411342 | EDWARD NICHOLAS GRAYDEN M.D. Individual | Anesthesiology | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1366422461 | JOSEPH MARIO LOMBARDI M.D. Individual | Obstetrics & Gynecology | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124007521, enumerated in the NPI registry as an "individual" on January 13, 2006
The provider is located at 404 W Fountain St Albert Lea, Mn 56007 and the phone number is (507) 373-2384
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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