Adrienne J K Carmack, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

N1275 Issued in TX

Practice address

703 E Marshall Ave
Suite 5007
Longview, TX 75601-5500

Phone

(903) 315-4455

Fax

(903) 315-2466

NPI assigned

Jul 25, 2007

Last updated

Jul 23, 2015By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: acarmack112924@christushealth.direct-ci.net
• FHIR API: https://fhir4.healow.com/fhir/r4/EDCHDD

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.

• Gary L. Appelt, MD,PA

  • Urology Physician
  • Brenham, TX
  • NPI 1770890113
  NPD (past)
• Ryan W. Frieben, M.D., PA

  • Urology Physician
  • Brenham, TX
  • NPI 1083059026
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1346430527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731218",
            "telephone_number": "903-315-4119",
            "fax_number": "903-315-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE",
            "address_2": "SUITE 5007",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-4455",
            "fax_number": "903-315-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "ADRIENNE",
        "middle_name": "J K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "N1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care First Physicians PA (Care First Physicians Letourneau)
• Careatc
• Carebridge Medteam, LLC
• Richard Lee Carl Jr., APRN, FNP-C
• Carlton W Mitchell LPC (PLLC)
• Simone Carr, SLPA
• Charlene Carter, O.D.
• Latrevion Carter
• Marcus Antonio Carter, CST/CSFA
• Donna J Caruso, CNNP

• Urology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.