Active NPI
Marie J. Carter, DO, PC
- Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1609802727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3450
- Legal business name
- MARIE J. CARTER, DO, PC
- Practice address
- 11401 S Western Ave
Oklahoma City, OK 73170-5819 - Phone
- (405) 735-3041
- Fax
- (405) 735-3146
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie J. Carter, DO
- Title
- President
- Phone
- (405) 631-3435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3450 | OK | Primary |
Addresses
Primary practice location
11401 S Western Ave
Oklahoma City, OK 73170-5819
Mailing address
PO Box 890309
Oklahoma City, OK 73189-0309
Phone (405) 631-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200116430A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tuttle, OK
- NPI 1841424991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603324800000",
"number": "1609802727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890309",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731890309",
"telephone_number": "405-631-3435",
"fax_number": "405-632-7416"
},
{
"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": {
"organization_name": "MARIE J. CARTER, DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-631-3435",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OK",
"license": "3450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200116430A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.