Individual provider Active NPI

James Alexander Carthron, M.D.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1760693196
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301084155 Issued in MI
Practice address
1810 Springwells St
Detroit, MI 48209-1859
Phone
(248) 843-5470
Fax
(313) 800-0149
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301084155 MI Primary

Addresses

Primary practice location

1810 Springwells St
Detroit, MI 48209-1859

Mailing address

3052 Silverwood Dr
Saginaw, MI 48603-2170
Phone (989) 493-4754

Other practice location 1

2110 N Morson St
Saginaw, MI 48602-3456
Phone (989) 401-7225

Other identifiers 2

IdentifierTypeStateIssuer
9385074OtherMIAETNA
0731304OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071022000781 MI Practitioner - Family Practice 5597851550 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084155MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laz Medical Group PC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Keri Heart Inc PastSince May 7, 2023 Accepting new patients
Covenant Medical Center, Inc Family Medicine Past Accepting new patients

Locations

21701 W 11 Mile Rd
Ste 5
Southfield, MI 48076
Phone (248) 747-1690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1760693196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 SILVERWOOD DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032170",
            "telephone_number": "989-493-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091859",
            "telephone_number": "248-843-5470",
            "fax_number": "313-800-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 N Morson St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486023456",
            "country_code": "US",
            "telephone_number": "989-401-7225",
            "fax_number": "989-401-7226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTHRON",
        "first_name": "JAMES",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9385074",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0731304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.