Peter John Carter
Individual provider Active NPI Pediatrics Physician · Overland Park, KS
NPI 1366768640 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1366768640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 04-36497 (KS)
- Practice address
- 7301 W 133Rd St
Suite 102
Overland Park, KS 66213-4750 - Phone
- (913) 888-4567
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36497 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Mercy - Pediatric Partners, Inc | Pediatrics | Past |
Accepting new patients |
| Shawnee Mission Medical Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-36497 | KS | Yes |
Addresses
Primary practice location
7301 W 133Rd St
Suite 102
Overland Park, KS 66213-4750
Mailing address
7301 W 133Rd St
Suite 102
Overland Park, KS 66213-4750
Phone (913) 888-4567
Other providers in Overland Park, KS
- Jennifer L Carter
- John William Michael Carter
- Patricia Carter
- Patricia Lynn Carter
- Paul H Carter
- Peter Joseph Caruso
- Bryan Carver
- Case Management Services, Inc.
- Brian A. Casement
- Jill Casey Weyer
All providers in Overland Park, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.