Roger L Carter, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1729 Issued in SD

Practice address

901 4TH St NW
Watertown, SD 57201-1565

Phone

(605) 886-8471

Fax

(605) 886-9317

NPI assigned

Jan 12, 2006

Last updated

May 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prairie Lakes Health Care System Inc

  dba Sanford Health Castlewood Clinic

  • Family Medicine Physician
  • Castlewood, SD
  • NPI 1578369070
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1225017809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572010290",
            "telephone_number": "605-886-8471",
            "fax_number": "605-886-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011565",
            "telephone_number": "605-886-8471",
            "fax_number": "605-886-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ROGER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Lynn Burchatz, COTA
• Jennifer Lee Byer, PA-C
• Care Anywhere
• David T. Carlson, MD
• Amanda Renee Carter-Boomsma, LPC
• Christine Marie Cass, PT
• Catholic Family Services
• Cedar Lakes Therapy, LLC
• Chad D. Beynon, O.D., P.C.
• Alan R Christensen, MD

• Surgery Physician in Watertown, SD
• Providers in Watertown, SD by specialty
• Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.