Active NPI
Richard S Carter, MD
- Anesthesiology Physician
- Kingsport, TN
National Provider Identifier
1407855471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 6641
- Practice address
- 135 W Ravine Rd
Suite 5-B
Kingsport, TN 37660-3847 - Phone
- (423) 224-3460
- Fax
- (423) 224-3465
- NPI assigned
- Jul 20, 2005
- Reactivated
- Sep 11, 2013
- Last updated
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 6641 | TN | Primary |
Addresses
Primary practice location
135 W Ravine Rd
Suite 5-B
Kingsport, TN 37660-3847
Mailing address
PO Box 1308
Kingsport, TN 37662-1308
Phone (423) 224-3460
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 |
|---|---|---|---|
| 6641 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Group of Tennessee, P. C. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1114927738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1407855471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1308",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376621308",
"telephone_number": "423-224-3460",
"fax_number": "423-224-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W RAVINE RD",
"address_2": "SUITE 5-B",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603847",
"telephone_number": "423-224-3460",
"fax_number": "423-224-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2013-09-11",
"deactivation_date": "2012-10-05",
"reactivation_date": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "6641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.