Active NPI
Tracy Ann Carter, M.D.
- Obstetrics & Gynecology Physician
- Sheffield Village, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35-072724
- Practice address
- 5054 Waterford Place Dr
Sheffield Village, OH 44035 - Phone
- (440) 934-8344
- Fax
- (440) 934-8345
- NPI assigned
- Dec 20, 2005
- Last updated
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35-072724 | OH | Primary |
Addresses
Primary practice location
5054 Waterford Place Dr
Sheffield Village, OH 44035
Mailing address
PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 989-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034097 | Medicaid | OH | |
| 3025372 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-072724 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lorain, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians, Lorain, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Fairview Hospital | Obstetrics & Gynecology | Past | Accepting new patients |
| Emh Professional Services Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Allara Medical Group PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
3600 Kolbe Rd
Ste 210
Lorain, OH 44053
Phone (440) 222-4567
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
5054 Waterford Dr
Sheffield Village, OH 44035
Phone (440) 934-0479
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
Interoperability endpoints
- tracy.carter@335000925634564.direct.elationemr.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Lorain, OH
- NPI 1972126381
-
- Family Medicine Physician
- Lorain, OH
- NPI 1023347192
-
- Durable Medical Equipment & Medical Supplies
- Vermilion, OH
- NPI 1255063145
-
dba Mercy Health - Orthopedics and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1730724147
-
- Obstetrics & Gynecology Physician
- Elyria, OH
- NPI 1508951070
-
- Obstetrics & Gynecology Physician
- Cleveland, OH
- NPI 1407953706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1962488130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636643",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636643",
"telephone_number": "440-989-3801",
"fax_number": "440-960-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5054 WATERFORD PLACE DR",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "44035",
"telephone_number": "440-934-8344",
"fax_number": "440-934-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35-072724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034097",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3025372",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.