Active NPI
Robert Edward Carter, MD
- Gynecology Physician
- Placerville, CA
National Provider Identifier
1346413820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G393640
- Practice address
- 1095 Marshall Way
Suite 201
Placerville, CA 95667-5722 - Phone
- (530) 344-5470
- NPI assigned
- Apr 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G393640 | CA | Primary |
Addresses
Primary practice location
1095 Marshall Way
Suite 201
Placerville, CA 95667-5722
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 344-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G393640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990 | OH | MD | Rehabilitation Chiropractor |
| G393640 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1346413820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45680",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941450680",
"telephone_number": "530-344-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 MARSHALL WAY",
"address_2": "SUITE 201",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675722",
"telephone_number": "530-344-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G393640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G393640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.