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Mark L Carlson

  • Male

Medical Specialty

Professional ID

  • NPI: 1528192150
  • PECOS ID: 9739356239
  • Enrollment ID: I20120125000057
  • Credential(MD, DO, DPM):
  • Medical School: University Of Nebraska College Of Medicine
  • Medical School Graduation Year: 1974

Hospital Service

  • Hospital CCN1: 260040
  • Business Name (LBN)1: Cox Medical Centers

Medical Practices

  • Organization Name: Lester E Cox Medical Centers
  • Group Practice ID assigned by PECOS: 1254248917
  • Number of Group Practice member: 106

Location

  • Address1: 1423 N Jefferson Ave
  • Address2: B100
  • City: Springfield
  • State: Missouri
  • Zip Code: 65802
  • Phone Number: (417)269-8817

Location

  • Address1: 3801 S National Ave
  • Address2:
  • City: Springfield
  • State: Missouri
  • Zip Code: 65807
  • Phone Number: (417)269-6000

Location

  • Address1: 3801 S National Ave 5th Floor
  • Address2:
  • City: Springfield
  • State: Missouri
  • Zip Code: 65807
  • Phone Number: (417)269-7728

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):