James M Carver, MD
Individual provider Active NPI Family Medicine Physician · Coffeyville, KS
NPI 1265499511 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1265499511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0434654 (KS)
- Practice address
- 1411 W 4TH St Ste G
Coffeyville, KS 67337-3300 - Phone
- (620) 251-5400
- Fax
- (620) 251-5412
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. John Physicians, Inc.
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
Hospital & facility affiliations
- Ascension St John Jane Phillips
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110502000605 | KS | Practitioner - Family Practice |
8426233727 | Reassigns benefits to 1 organization |
| I20120201000095 | OK | Practitioner - Family Practice |
8426233727 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0434654 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Kansas Communities Inc | Family Medicine | Past | Accepting new patients |
| Mercy Kansas Communities Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17000 | OK | |
| Family Medicine Physician | 207Q00000X | 0434654 | KS | Yes |
Addresses
Primary practice location
1411 W 4TH St Ste G
Coffeyville, KS 67337-3300
Mailing address
226 SE Debell Ave
BLDG. a
Bartlesville, OK 74006-2300
Phone (918) 333-7200
Other providers in Coffeyville, KS
- Cynthia Gail Brumback
- Elizabeth Burch
- Logan Michael Bustos
- Tammie Byrd
- Lisa Cagle
- Mary Ann Casebeer
- Chan S Han MD PA
- Daniel H Chappell
- James Leroy Christensen
- McKenzie Clay
All providers in Coffeyville, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.