Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric S Carlson, PA-C

Individual provider Surgical Physician Assistant · NPI 1649220021

Eric S Carlson, PA-C is a Physician Assistant in Leawood, Kansas. Qualified in 2003, 23 years ago. Practices with Dickson Diveley Midwest Orthopaedic Clinic LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
23
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3651 College Blvd
Leawood, KS 66211-1910
Phone: (913) 319-7600
Fax: (913) 253-1702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15-00959 (KS)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2004029282 (MO)

Record details

NPI number1649220021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing address3651 College Blvd, Leawood, KS 66211-1910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Dickson Diveley Midwest Orthopaedic Clinic Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Leawood