Ethelred E Carter Medical Corp

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A29534 Issued in CA

Legal business name

ETHELRED E CARTER MEDICAL CORP

Practice address

1700 E Cesar E Chavez Ave
Suite #3700
Los Angeles, CA 90033-2424

Phone

(323) 260-7252

Fax

(323) 260-7864

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Ethelred E Carter, M.D.NPI 1336247964

Title

Sole Owner

Phone

(323) 260-7252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethelred Erasmus Carter, M.D.

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1336247964
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1508109877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE #3700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "323-260-7252",
            "fax_number": "323-260-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE #3700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "323-260-7252",
            "fax_number": "323-260-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHELRED E CARTER MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ETHELRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "323-260-7252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A29534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farima Etesamifar, LCSW
• Rambod Etessami-Azam, D.D.S.
• Hiri Etessami, DDS
• Linda Eteuati
• Ethan C. a Lee Dental Inc.
• Georgia Etheridge Stephens, MA, CCLS
• Tami Renee Etheridge, OTR/L
• Ethio Ride LLC
• Ramez A Ethnasios, M.D.
• Kogiah Ethridge

• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.