Active NPI
E. Jane Carter, MD
- Pulmonary Disease Physician
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD06353
- Practice address
- 375 Wampanoag TRL
Suite 302B
Riverside, RI 02915-2232 - Phone
- (401) 649-4070
- Fax
- (401) 649-4071
- NPI assigned
- Jun 1, 2006
- Last updated
- Sep 13, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD06353 | RI | Primary |
Addresses
Primary practice location
375 Wampanoag TRL
Suite 302B
Riverside, RI 02915-2232
Mailing address
17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Phone (401) 443-4992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00131509 | Other | RI | RAILROAD MEDICARE |
| EC17585 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Anchor Medical Associates | Past | Accepting new patients |
Locations
1 Commerce St
Ste 100
Lincoln, RI 02865
Phone (401) 793-8444
11 Friendship St
#1
Newport, RI 02840
Phone (401) 845-1652
19 Friendship St
Ste 150160
Newport, RI 02840
Phone (401) 845-3800
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
375 Wampanoag Trl
Ste 302B
Riverside, RI 02915
Phone (401) 649-4070
Organizations & group practices 3
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.
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
dba AM Health Professionals
- General Practice Physician
- Lincoln, RI
- NPI 1205832029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1972540680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VIRGINIA AVE",
"address_2": "SUITE 107",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054406",
"telephone_number": "401-443-4992",
"fax_number": "401-784-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WAMPANOAG TRL",
"address_2": "SUITE 302B",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152232",
"telephone_number": "401-649-4070",
"fax_number": "401-649-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "E.",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "RI",
"license": "MD06353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00131509",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EC17585",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.