Individual provider Active NPI

Ted S Carteaux III, PA-C

  • Physician Assistant
  • Oxford, NC
National Provider Identifier
1114039708
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102641 Issued in NC
Practice address
1032 College St
Oxford, NC 27565-2507
Phone
(919) 693-6541
Fax
(919) 693-7396
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102641 NC Primary

Addresses

Primary practice location

1032 College St
Oxford, NC 27565-2507

Mailing address

1032 College St
Oxford, NC 27565-2507
Phone (919) 693-6541

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102641NCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114039708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTEAUX",
        "first_name": "TED",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.