Individual provider Active NPI

Marie Judith Carter, DO

  • General Practice Physician
  • Oklahoma City, OK
National Provider Identifier
1508894338
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3450 Issued in OK
Practice address
11401 S Western Ave
Oklahoma City, OK 73170-5819
Phone
(405) 735-3041
Fax
(405) 735-3146
NPI assigned
Jun 29, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3450 OK
General Practice Physician 208D00000X 3450 OK Primary

Addresses

Primary practice location

11401 S Western Ave
Oklahoma City, OK 73170-5819

Mailing address

11401 S Western Ave
Oklahoma City, OK 73170-5819
Phone (405) 735-3041

Other identifiers 2

IdentifierTypeStateIssuer
100229790AMedicaidOK
P00132191OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000122 OK Practitioner - General SurgeryPractitioner - General PracticePractitioner - Obstetrics/GynecologyPractitioner - Family Practice 9638189590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice, General Practice, Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11401 S Western Ave
Oklahoma City, OK 73170-5819
Phone (405) 735-3041

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3450OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Craig County Hospital Authority Current Accepting new patients
Marie J. Carter, DO, PC Surgery CurrentSince Apr 7, 2006 Accepting new patients
Surgical Assistants PC Past Accepting new patients

Locations

11401 S Western Ave
Oklahoma City, OK 73170
Phone (405) 735-3041

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109
Phone (405) 631-3435

735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551

Interoperability endpoints

  • Direct secure messaging: marie.carter.1@3502.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1508894338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705819",
            "telephone_number": "405-735-3041",
            "fax_number": "405-735-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705819",
            "telephone_number": "405-735-3041",
            "fax_number": "405-735-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MARIE",
        "middle_name": "JUDITH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-09-29",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3450",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229790A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00132191",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.