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MR. DEAN A. CARLSON P.A.
NPI 1104862861
Physician Assistant in Springfield, MO

Active since June 21, 2006
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2115(417) 820-5344 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dean A. Carlson P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEAN A. CARLSON P.A. (NPI 1104862861) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2004032522) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104862861
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DEAN A. CARLSONCredential: P.A.
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing AddressPo Box 504274Saint Louis, MO 63150-4274 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 820-2115
Fax(417) 820-5344
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateOctober 25, 2011
✔ NPI 1104862861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2004032522
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1235 E CHEROKEE ST, Springfield, MO 65804
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Other Identifiers 4

Other431560263Tricare
Medicare UPINQ51254MO
OtherP00670958Railroad Medicare
Medicare PIN000097327MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SUJAN POUDEL M.D.
Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2600
JANEL M OCHSE MD
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2000
DR. DAWN E ZABLOCKI MD
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
OLIVIA M. KILBURN CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
VIRGINIA MCLAUGHLIN SLP
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 576-3741
MARGARET BROWN MONTGOMERY APRN
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-6569
DEVIN B MOORE PA-C
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-5400
JACQUELYN B MARSHALL CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dean Carlson's NPI number?

The NPI number for Dean Carlson is 1104862861. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Dean Carlson located?

Dean Carlson practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2115.

What is Dean Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Dean Carlson was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.