Active NPI
Sam Carter Sr.
- Peer Specialist
- Sayre, OK
National Provider Identifier
1093573941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 175T00000X
- Practice address
- 501 E Grand Ave
Sayre, OK 73662-1917 - Phone
- (405) 979-3900
- NPI assigned
- Mar 6, 2024
- Last updated
- Mar 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 175T00000X | OK | Primary |
Addresses
Primary practice location
501 E Grand Ave
Sayre, OK 73662-1917
Mailing address
501 E Grand Ave
Sayre, OK 73662-1917
Phone (405) 979-3900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175T00000X | OK | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1093573941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E GRAND AVE",
"city": "SAYRE",
"state": "OK",
"postal_code": "736621917",
"telephone_number": "405-979-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GRAND AVE",
"city": "SAYRE",
"state": "OK",
"postal_code": "736621917",
"telephone_number": "405-979-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "SAM",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OK",
"license": "175T00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayre, OK
- Blackhawk Mangum LLC (Robinson Family Clinic)
- Blackhawk Mangum, LLC (Quartz Mountain Healthcare System - Robinson Family Clinic)
- Kendriss Leigh Brown
- Franki Buckner
- Sonya K Carlson, D.PH.
- Cheyenne Professional Drug Inc (City Pharmacy)
- Cheyenne Professional Drug, Inc (Sayre Professional Pharmacy)
- Cheyenne Professional Drug, Inc (CPD Home Medical)
- Contemporary Healthcare Services, Aprn-CNP, PLLC
- David Epp OD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.