Individual provider Active NPI

Carlton Sherman Pearse, M.D

  • Obstetrics & Gynecology Physician
  • Pueblo, CO
National Provider Identifier
1457358582
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
CDRH.0062723 Issued in CO
Practice address
1501 Court St
Pueblo, CO 81003-2720
Phone
(719) 543-6755
Fax
(719) 583-2236
NPI assigned
Jul 5, 2005
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CDRH.0062723 CO Primary
Obstetrics & Gynecology Physician 207V00000X MC-0297 ID
Obstetrics & Gynecology Physician 207V00000X R9768 MO

Addresses

Primary practice location

1501 Court St
Pueblo, CO 81003-2720

Mailing address

1501 Court St
Pueblo, CO 81003-2720
Phone (719) 543-6755

Other practice location 1

315 E Elm St Ste 310
Caldwell, ID 83605-4881
Phone (208) 454-2035

Other practice location 2

226 S Woods Mill Rd
Suite 68 West
Chesterfield, MO 63017-3662
Phone (314) 576-0930

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

LicenseStateTypeSpecialty
R9768MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates, PA Obstetrics & Gynecology CurrentSince Sep 28, 2020 Accepting new patients

Locations

315 E Elm St
Ste 310
Caldwell, ID 83605
Phone (208) 454-2035

Interoperability endpoints

  • Direct secure messaging: carlton.pearse.p1@direct.pueblochc.nextgenshare.com
  • Direct secure messaging: carlton.pearse@hca3.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1457358582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032720",
            "telephone_number": "719-543-6755",
            "fax_number": "719-583-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032720",
            "telephone_number": "719-543-6755",
            "fax_number": "719-583-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Elm St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054881",
            "country_code": "US",
            "telephone_number": "208-454-2035",
            "fax_number": "208-454-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 S Woods Mill Rd",
            "address_2": "SUITE 68 WEST",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173662",
            "country_code": "US",
            "telephone_number": "314-576-0930",
            "fax_number": "314-514-8229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSE",
        "first_name": "CARLTON",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "CDRH.0062723",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "MC-0297",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R9768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.