Organization Active NPI

Henri R Carter MD

  • Surgery Physician
  • Yuma, AZ
National Provider Identifier
1871652719
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16179 Issued in AZ
Legal business name
HENRI R CARTER MD
Practice address
2503 S Avenue a #3
Yuma, AZ 85364-7174
Phone
(928) 344-3250
Fax
(928) 344-3253
NPI assigned
Dec 6, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Henri R Carter, MDNPI 1538349592
Title
Physician
Phone
(928) 344-3250

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 16179 AZ Primary

Addresses

Primary practice location

2503 S Avenue a #3
Yuma, AZ 85364-7174

Mailing address

2503 S Avenue a #3
Yuma, AZ 85364-7174
Phone (928) 344-3250

Other identifiers 2

IdentifierTypeStateIssuer
AZ0256980OtherAZBCBS
277576MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2503 S Avenue A
Ste 3
Yuma, AZ 85364
Phone (520) 344-3250

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1871652719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A #3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647174",
            "telephone_number": "928-344-3250",
            "fax_number": "928-344-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A #3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647174",
            "telephone_number": "928-344-3250",
            "fax_number": "928-344-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRI R CARTER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "HENRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-344-3250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "16179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0256980",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277576",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.