Charles L. Carr Jr, DO, PA

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1555 Issued in ME

Legal business name

CHARLES L. CARR JR, DO, PA

Practice address

2 Main Street
Suite 404 Lafayette Center
Kennebunk, ME 04043

Phone

(207) 985-0011

Fax

(207) 985-5111

NPI assigned

Jul 26, 2012

Last updated

Jul 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles L. Carr Jr., DO

Title

Provider/President/Owner

Phone

(207) 985-0011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen M Benezra, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Arundel, ME
  • NPI 1003006271
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1346596483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 800",
            "address_2": "SUITE 404 LAFAYETTE CENTER",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040430800",
            "telephone_number": "207-985-0011",
            "fax_number": "207-985-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN STREET",
            "address_2": "SUITE 404 LAFAYETTE CENTER",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-985-0011",
            "fax_number": "207-985-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. CARR JR, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-985-0011",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy L. Carlson, M.S.W.
• Elaine Carlson, M.D.
• Brittany Lynn Casavina, PMHNP
• Gail S. Chandler, M.A.
• Charles a Parent DO PA
• Arthur A Chase, PT
• Carrie Elizabeth Chase, PT, DPT
• Melissa R Chen, LCPC-C
• Kristen Sierra Chismar
• Bruce C Church, PHARMACIST

• Neuromusculoskeletal Medicine & OMM Physician in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.