Leo Rondus Carter, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101029490 Issued in VA

Practice address

2115 Executive Dr Ste 2D
Hampton, VA 23666-2411

Phone

(757) 827-1351

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: leo.carter.1@14425.direct.athenahealth.com

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952315491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR STE 2D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662411",
            "telephone_number": "757-827-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR STE 2D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662411",
            "telephone_number": "757-827-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LEO",
        "middle_name": "RONDUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101029490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "51268",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6500196",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "220094",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Carrington
• Theresa A Carroll, DPT
• Keiva Carstarphen-Sturdivant, PHARMD
• Christina Rochelle Carter, NP
• Lauren B Carter, MA, CCC-SLP
• Margareta Marie Carter, LCSW
• Sheena Carter, COTA/L
• Tarnisha Carter
• Cary Health Solutions, LLC
• Rachanee Ariel Cary, RMA

• Specialist in Hampton, VA
• Providers in Hampton, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.