Alan Carr, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS0004396 Issued in FL

Practice address

12141 Shakespeare TRL
Dade City, FL 33525-8249

Phone

(813) 928-5577

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clover Emergency Physicians LLC

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1891744736

  Emergency Medicine

  NPD (past)
• East Pasco Emergency Consultant

  • Emergency Medicine Physician
  • Zephyrhills, FL
  • NPI 1548216286

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1366410342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 SHAKESPEARE TRL",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 SHAKESPEARE TRL",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258249",
            "telephone_number": "813-928-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0004396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82636",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271517100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Ricardo Burgos Polo, D.M.D.
• Melissa Maxine Burke, MD
• Jackalynne Burns, MA, BCBA
• Anna Katherine Callahan, APRN
• Rhonda Cameron, PHD
• Katherine Carson, MD
• Thomas A. Castillenti, D.O.
• Challenging Ideas Inc
• Ronald Scott Chamberlain, M.D.
• Saybra Rice Chapman, LMHC

• All providers in Dade City, FL
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.