Organization Active NPI

Henry S Carter, MD LLC

  • Internal Medicine Physician
  • Deridder, LA
National Provider Identifier
1841420437
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01153R Issued in LA
Legal business name
HENRY S CARTER, MD LLC
Practice address
305 W 7TH St
Suite C
Deridder, LA 70634-4982
Phone
(337) 463-4800
Fax
(337) 462-0067
NPI assigned
Jul 17, 2009
Last updated
Jul 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Henry S Carter, M.D.
Title
Owner
Phone
(337) 463-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01153R LA Primary

Addresses

Primary practice location

305 W 7TH St
Suite C
Deridder, LA 70634-4982

Mailing address

305 W 7TH St
Suite C
Deridder, LA 70634-4982
Phone (337) 463-4800

Other identifiers 1

IdentifierTypeStateIssuer
1020095MedicaidLA

National Provider Directory

National Provider Directory

Locations

305 W 7th St
Ste C
Deridder, LA 70634
Phone (337) 460-9207

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1841420437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 7TH ST",
            "address_2": "SUITE C",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344982",
            "telephone_number": "337-463-4800",
            "fax_number": "337-462-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 7TH ST",
            "address_2": "SUITE C",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344982",
            "telephone_number": "337-463-4800",
            "fax_number": "337-462-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY S CARTER, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-463-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "01153R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.