Organization Active NPI

M Kathleen Carriker M.D.,P.C.

Doing business as Ryan Carriker Eye Center

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1073941381
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5301 Issued in AZ
Legal business name
M KATHLEEN CARRIKER M.D.,P.C.
Doing business as
Ryan Carriker Eye Center
Practice address
3125 N 32ND St
100
Phoenix, AZ 85018-6281
Phone
(602) 956-7414
Fax
(602) 957-3227
NPI assigned
Oct 23, 2013
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Kathleen Carriker, M.D.,P.C.
Title
Physician
Phone
(602) 956-7414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5301 AZ Primary

Addresses

Primary practice location

3125 N 32ND St
100
Phoenix, AZ 85018-6281

Mailing address

3125 N 32ND St
100
Phoenix, AZ 85018-6281
Phone (602) 956-7414

Other identifiers 1

IdentifierTypeStateIssuer
248098MedicaidAZ

Other names 1

  • RYAN CARRIKER EYE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1073941381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-7414",
            "fax_number": "602-957-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-7414",
            "fax_number": "602-957-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KATHLEEN CARRIKER M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "CARRIKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-956-7414",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "5301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYAN CARRIKER EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.