Individual provider Active NPI

Laura S Carothers, D.O.

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1740392299
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
008019 Issued in AZ
Practice address
4960 S Alma School Rd Ste 18
Chandler, AZ 85248-5573
Phone
(480) 447-4244
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 336-070244 IL
Internal Medicine Physician 207R00000X 008019 AZ Primary

Addresses

Primary practice location

4960 S Alma School Rd Ste 18
Chandler, AZ 85248-5573

Mailing address

4960 S. Alma School Road
Suite 18
Chandler, AZ 85248
Phone (480) 447-4244

Other practice location 1

3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone (847) 688-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008019AZMDInternal Medicine Physician
336-070244ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1740392299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-447-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 S ALMA SCHOOL RD STE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485573",
            "telephone_number": "480-447-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643048",
            "country_code": "US",
            "telephone_number": "847-688-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "LAURA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336-070244",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "008019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.