James Louis Carpenter, M.D.
Individual provider Active NPI Specialist · Saint Charles, MO
NPI 1710320577 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1710320577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MO29539 (MO)
- Practice address
- 205 N 5TH St
Suite 208
Saint Charles, MO 63301-1877 - Phone
- (314) 616-7321
- Fax
- (636) 724-3896
- NPI assigned
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO29539 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West County Adult Medicine, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MO29539 | MO | Yes |
Addresses
Primary practice location
205 N 5TH St
Suite 208
Saint Charles, MO 63301-1877
Mailing address
205 N 5TH St
Suite 208
Saint Charles, MO 63301-1877
Phone (314) 616-7321
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.