Active NPI
Sandra Carter, D.O.
- Internal Medicine Physician
- Reedsport, OR
National Provider Identifier
1023001161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO153439
- Practice address
- 600 Ranch Rd
Reedsport, OR 97467-1720 - Phone
- (541) 271-2119
- Fax
- (541) 271-9338
- NPI assigned
- Aug 24, 2005
- Last updated
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2004004157 | MO | |
| Internal Medicine Physician | 207R00000X | 05-31742 | KS | |
| Internal Medicine Physician | 207R00000X | DO153439 | OR | Primary |
Addresses
Primary practice location
600 Ranch Rd
Reedsport, OR 97467-1720
Mailing address
600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2119
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7620522 | Other | AETNA | |
| P00162661 | Other | MO | RR MCR |
| 208976001 | Medicaid | MO | |
| 33737014 | Other | BCBS | |
| 2197141 | Other | FIRST HEALTH |
Other names 1
- Sandra Blowers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-31742 | KS | MD | Internal Medicine Physician |
| 2004004157 | MO | MD | Internal Medicine Physician |
| DO153439 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospital Specialists, P.a. | Internal Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1013901404
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1023001161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RANCH RD",
"city": "REEDSPORT",
"state": "OR",
"postal_code": "974671720",
"telephone_number": "541-271-2119",
"fax_number": "541-271-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RANCH RD",
"city": "REEDSPORT",
"state": "OR",
"postal_code": "974671720",
"telephone_number": "541-271-2119",
"fax_number": "541-271-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2004004157",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "05-31742",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO153439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7620522",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00162661",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208976001",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "33737014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2197141",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "BLOWERS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reedsport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.