National Provider Identifier
Jared William Carlson, M.D.
Jared William Carlson, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Amherst, NY and a listed phone number of (716) 250-9999.
Profile Overview
- NPI
- 1073775284
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- June 29, 2008
- Last Updated
- September 27, 2023
Practice Location
- 3925 Sheridan Dr
- Amherst, NY 14226-1738
Phone: (716) 250-9999
Specialties
- Surgery Physician (208600000X)
- Surgery Physician (208600000X)
Full Record
- NPI
- 1073775284
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Jared
- Middle Name
- William
- Credential
- M.D.
- Mailing Street Address
- 3925 Sheridan Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1738
- Mailing Country
- US
- Mailing Phone
- (716) 250-9999
- Practice Street Address
- 3925 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1738
- Practice Country
- US
- Practice Phone
- (716) 250-9999
- Enumeration Date
- June 29, 2008
- Last Updated
- September 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X), Surgery Physician (208600000X)