Active NPI
Douglas Vincent Carter, Inc.
- Surgical Technologist
- Joliet, IL
National Provider Identifier
1134498645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238000300
- Legal business name
- DOUGLAS VINCENT CARTER, INC.
- Practice address
- 503 N Raynor Ave
Joliet, IL 60435-6025 - Phone
- (815) 740-1987
- Fax
- (815) 740-1994
- NPI assigned
- Dec 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas V Carter, RN, RSA, CSA
- Title
- Owner
- Phone
- (815) 740-1987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238000300 | IL | Primary |
Addresses
Primary practice location
503 N Raynor Ave
Joliet, IL 60435-6025
Mailing address
503 N Raynor Ave
Joliet, IL 60435-6025
Phone (815) 740-1987
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Technologist
- Joliet, IL
- NPI 1770599946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1134498645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 N RAYNOR AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356025",
"telephone_number": "815-740-1987",
"fax_number": "815-740-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N RAYNOR AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356025",
"telephone_number": "815-740-1987",
"fax_number": "815-740-1994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS VINCENT CARTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-740-1987",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, RSA, CSA"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238000300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.