Mary M Carter

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA00165 Issued in TX

Legal business name

MARY M CARTER

Practice address

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Phone

(817) 882-2000

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mary M CarterNPI 1760566582

Title

Lsa

Phone

(817) 294-7444

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary M Carter, LSA

  • Surgical Technologist
  • Fort Worth, TX
  • NPI 1760566582
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972687622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11219",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761100219",
            "telephone_number": "817-294-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-882-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M CARTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LSA",
        "authorized_official_telephone_number": "817-294-7444"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0005LF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas L Marvelli, M. D.
• Andrew L Marvin, RN
• David M Marvin, MD
• Katherine Anne Marx, CRNA
• Mary Dainty, M.a., LPC-S
• Mary Milam, M.D., P.a.
• Mas Monitoring LLC
• Masa Neuromonitoring PLLC
• Sabbina M Masando
• Tyler Masden, MD

• Surgical Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.