JAY W CARLSON D.O.
NPI 1194835181
Obstetrics & Gynecology - Gynecologic Oncology in Springfield, MO

Active since August 30, 2006
2055 S FREMONT AVE, STE 200, SPRINGFIELD, MO 65804(417) 820-3554(417) 820-3587 Get Directions Write a Review

NPPES record last updated: March 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay W Carlson D.o. NPPES

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

JAY W CARLSON D.O. (NPI 1194835181) is an individual gynecologic oncology provider in Springfield, Missouri, licensed in Missouri (2011006588) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1194835181
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameJAY W CARLSONCredential: D.O.
Location Address2055 S FREMONT AVE, STE 200Springfield, MO 65804-2206
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Fax(417) 820-3587
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 30, 2013
NPI 1194835181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses Licensed in MO · 2011006588 Licensed in IA · 4038 Licensed in MI · JC015918
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 4038 (IA)
2055 S FREMONT AVE, Springfield, MO 65804

Other Identifiers 4

Medicaid187019003AR
Medicaid1194835181MO
Medicaid200454170AOK
Medicare UPINE96375MO

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.

Radiology (Radiation Oncology)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
2055 S FREMONT AVE, STE 200
SPRINGFIELD, MO 65804
Internal Medicine (Hematology & Oncology)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804
Internal Medicine (Hematology & Oncology)
2055 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Pharmacist (Oncology)
2055 S FREMONT AVE
SPRINGFIELD, MO 65804

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 Jay Carlson's NPI number?

The NPI number for Jay Carlson is 1194835181. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jay Carlson located?

Jay Carlson practices at 2055 S Fremont Ave Ste 200, Springfield, MO 65804. The listed phone number is (417) 820-3554.

What is Jay Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Jay Carlson was last updated on March 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.