Individual provider Active NPI

Carolyn F Salter, M.D.

  • General Practice Physician
  • Palestine, TX
National Provider Identifier
1114986395
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G0048 Issued in TX
Practice address
1021 S Sycamore St
Palestine, TX 75801-5041
Phone
(903) 729-8328
Fax
(903) 729-5640
NPI assigned
Mar 17, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G0048 TX Primary

Addresses

Primary practice location

1021 S Sycamore St
Palestine, TX 75801-5041

Mailing address

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000640 TX Practitioner - General PracticePractitioner - Anesthesiology 3971682436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Medical ClinicGroup PAC ID 9638367188, 5 clinicians

Practice addresses (Care Compare)

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Gorby, M.D.P.a. Current Accepting new patients
Sycamore Medical Clinic CurrentSince Oct 1, 2010 Accepting new patients

Locations

1021 S Sycamore St
Palestine, TX 75801
Phone (903) 723-2547

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAADA

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1114986395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "CAROLYN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.