Active NPI
Ricardo TDD Carter MD LLC
- Hematology & Oncology Physician
- Lewistown, PA
National Provider Identifier
1871609537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD041163E
- Legal business name
- RICARDO TDD CARTER MD LLC
- Practice address
- 310 Electric Ave
Suite 231
Lewistown, PA 17044-1369 - Phone
- (717) 242-3760
- Fax
- (717) 242-6230
- NPI assigned
- Aug 22, 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
- Ricardo TDD Carter, MD
- Title
- Physician
- Phone
- (717) 242-3760
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD041163E | PA | Primary |
Addresses
Primary practice location
310 Electric Ave
Suite 231
Lewistown, PA 17044-1369
Mailing address
310 Electric Ave
Suite 231
Lewistown, PA 17044-1369
Phone (717) 242-3760
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1151 | Other | PA | GEISINGER HEALTH PLAN |
| 172240 | Other | PA | MEDICARE PTAN |
| 1802533 | Other | PA | HIGHMARK BLUE SHIELD |
| 0011276300004 | Medicaid | PA | |
| 02631300 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
310 Electric Ave
Ste 231
Lewistown, PA 17044
Phone (717) 242-3760
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Lewistown, PA
- NPI 1669457065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1871609537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ELECTRIC AVE",
"address_2": "SUITE 231",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441369",
"telephone_number": "717-242-3760",
"fax_number": "717-242-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 ELECTRIC AVE",
"address_2": "SUITE 231",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441369",
"telephone_number": "717-242-3760",
"fax_number": "717-242-6230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICARDO TDD CARTER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "TDD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "717-242-3760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD041163E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "1151",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "172240",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1802533",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011276300004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02631300",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.