Tina Carter, PA
Individual provider Active NPI Medical Physician Assistant · Baltimore, MD
NPI 1962579276 · NPPES record last updated Jul 13, 2015
Key facts
- NPI
- 1962579276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C0003363 (MD)
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-2882
- Fax
- (410) 328-2977
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Associates P.a., P.C.
Practice addresses (Care Compare)
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443
Hospital & facility affiliations
- Luminis Health Doctors Community Medical Ctr, Inc
- University of MD Capital Region Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070301000391 | DC | Practitioner - Physician Assistant | 8628170180 | Reassigns benefits to 1 organization |
| I20120926000526 | MD | Practitioner - Physician Assistant | 8628170180 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003363 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, PA | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| University of Maryland Physicians, P.a. | Current |
Accepting new patients | |
| University of Maryland Physicians PA | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0003363 | MD | Yes |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-2882
NPI Registry JSON
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1962579276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-2882",
"fax_number": "410-328-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-2882",
"fax_number": "410-328-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TINA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0003363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Sarah Carter
- Savannah Carter
- Shardae Chandra Carter
- Shashana Romona Carter
- Shenika Carter
- Tori Sims Carter
- Tylynn Carter
- Wendy Wilson Carter
- William Robert Carter
- Carter'S Behavioral Health Center LLC
All providers in Baltimore, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.