Individual provider Active NPI

James M Carver, MD

  • Family Medicine Physician
  • Coffeyville, KS
National Provider Identifier
1265499511
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0434654 Issued in 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
Last updated
May 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17000 OK
Family Medicine Physician 207Q00000X 0434654 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110502000605 KS Practitioner - Family PracticePractitioner - Emergency Medicine 8426233727 Reassigns benefits to 1 organization
I20120201000095 OK Practitioner - Family PracticePractitioner - Emergency Medicine 8426233727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17000OKMDMedical license number
0434654KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Kansas Communities Inc Past Accepting new patients
Mercy Kansas Communities Inc Family Medicine Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1265499511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "address_2": "BLDG. A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062300",
            "telephone_number": "918-333-7200",
            "fax_number": "918-331-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 4TH ST STE G",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373300",
            "telephone_number": "620-251-5400",
            "fax_number": "620-251-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "17000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0434654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.