Cary Carpenter, M.D. P.C.
Organization Active NPI Family Medicine Physician · Choctaw, OK
NPI 1124108378 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1124108378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18237 (OK)
- Legal business name
- CARY CARPENTER, M.D. P.C.
- Practice address
- 15809 NE 23Rd St
Choctaw, OK 73020-8428 - Phone
- (405) 390-9600
- Fax
- (405) 390-9400
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lorrie A Carpenter
- Title
- Administrator
- Phone
- (405) 808-7765
Practitioners 3
-
Jennifer Anne Boyett, P.A.-C
-
Melissa K Cook, PA-C
-
Bruce A. Stafford, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 18237 | OK | Yes |
Addresses
Primary practice location
15809 NE 23Rd St
Choctaw, OK 73020-8428
Mailing address
PO Box 10
Choctaw, OK 73020-0010
Phone (405) 390-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I00757 | Other | MEDICARE UPIN - BRUCE STAFFORD, D.O. | |
| 200100040A | Medicaid | OK | |
| 249341123 | Other | MEDICARE INDIVIDUAL P-TAN - CARY CARPENTER M.D. | |
| 1861479255 | Other | NPI - BRUCE STAFFORD, D.O. | |
| 241409404 | Other | MEDICARE INDIVIDUAL P-TAN FOR BRUCE STAFFORD, D.O. | |
| 44646 | Other | OK | BLUE LINCS - BRUCE STAFFORD, DO |
| 1053311548 | Other | NPI - CARY CARPENTER M.D. | |
| 1164597860 | Other | NPI - PHYSICIAN ASSISTANT BILLY SANDERS | |
| 446-46-7483-001 | Other | OK | BCBS-BRUCE STAFFORD, DO |
| 900522085 | Other | MEDICARE GROUP P-TAN --CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE | |
| 100113820E | Medicaid | OK | |
| 1861479255 | Other | OK | NPI-BRUCE STAFFORD, DO - |
| 444745244-001 | Other | OK | CARY CARPENTER -BCBS |
| 100113820B | Medicaid | OK | |
| F43282 | Other | MEDICARE UPIN - CARY CARPENTER M.D. | |
| 100113820D | Medicaid | OK |
Other names
- Choctaw Family Medicine & Aesthetics
Other providers in Choctaw, OK
- Stephanie Michelle Cargo
- Sabre Carlile
- Cary Lee Carpenter
- Carrie Carter
- Morgan Faye Carter
- Choctaw Dental PLLC
- Choctaw Health & Wellness Clinic, LLC
- Choctaw Physical Therapy LLC
- Choctaw Wellness Enterprises, LLC
- Choctaw Womens Clinic PLLC
All providers in Choctaw, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.