Jared Carlton
Individual provider Active NPI General Practice Physician · Fallon, NV
NPI 1336726835 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1336726835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 0101276734 (VA)
- Practice address
- Nmrtu Fallon
4755 Pasture Rd
Fallon, NV 89406 - Phone
- (775) 426-3120
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101276734 | VA | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 0101276734 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 0101276734 | VA | Yes |
Addresses
Primary practice location
Nmrtu Fallon
4755 Pasture Rd
Fallon, NV 89406
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Other providers in Fallon, NV
- Jacque Burger
- Kylie Burgess
- Timothy F Burke
- Steven Thomas Calderwood
- Nancy M Campbell
- Casey Professional Health Services PLLC
- Amanda Sue Casey
- Central Nevada Health District
- Central Nevada Vision Inc
- Christopher Chai
All providers in Fallon, NV · General Practice Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.