Henri R Carter, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

16179 Issued in AZ

Practice address

2503 S Avenue a #3
Yuma, AZ 85364-7174

Phone

(928) 344-3250

Fax

(928) 344-3253

NPI assigned

Nov 7, 2007

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Henri R Carter MD

  • Surgery Physician
  • Yuma, AZ
  • NPI 1871652719
  NPD (past) Authorized official

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1538349592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A #3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647174",
            "telephone_number": "928-344-3250",
            "fax_number": "928-344-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A #3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647174",
            "telephone_number": "928-344-3250",
            "fax_number": "928-344-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "HENRI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "16179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020011411",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "P0256980",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277576",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Brisa Carranza
• Angela Johanna Carrillo, L.M.T
• Sam A Carroll, D.M.D.
• John Bertram Carson, M.D.
• Corrine Carter, RN
• Jeremy Carter, MD
• Leora Carter, MLP/NP
• Robert Carter, PHARMD
• Giselle Carvalho, M.D.
• Casa Amity Corp

• Surgery Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.