DR. JASON M CARTER (NPI# 1619082856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619082856 |
| Entity Type | Individual |
| Full Name | DR. JASON M CARTER |
| Credential | MD |
| Practice Address |
2001 S Wiesbrook Rd Wheaton IL 60189 |
| Mailing Address |
2001 S Wiesbrook Rd Wheaton IL 60189-7813 |
| Practice Telephone | 6306144000 |
| Practice Fax Number | 6306144048 |
| Mailing Telephone | 6306144000 |
| Mailing Fax Number | 6306144048 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036112799 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036112799 | 05 | |
| IL | MEDICARE PTAN (INDIVIDUAL) | K20031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831591486 | Jason A. Carter | Social Worker | 4201 Medical Dr Ste 280, 280, San Antonio, TX 78229-5623 | 2014-09-25 |
| 1104166081 | Jason Aaron Carter | Counselor | 5367 Highway 75, Calvin, OK 74531-5091 | 2013-02-28 |
| 1639313182 | Jason Todd Carter | Physician Assistant | 345 E 86th St, Apt #12c, New York, NY 10028-4716 | 2009-04-28 |
| 1376712935 | Jason Andrew Carter | Emergency Medicine | 1405 4th Ave Nw Ste 96, Ardmore, OK 73401-2708 | 2008-02-27 |
| 1851458129 | Jason A Carter | Pharmacist | 710 James Robertson Pkwy Fl 11, Division of Clinical Leadership, Nashville, TN 37243-0001 | 2007-01-03 |
| 1598717464 | Jason C Carter | Dentist | 1621 N Plaza Dr, Tallahassee, FL 32308-5335 | 2006-05-17 |
| 1679554976 | Jason Allen Carter | Dentist | 540 N Santa Cruz Ave, Suite B1, Los Gatos, CA 95030-4347 | 2005-11-14 |
| 1912991670 | Jason B. Carter | Urology | 1404 Tusculum Blvd, Suite 2000, Greeneville, TN 37745-4395 | 2005-09-08 |
| 1487654406 | Jason B Carter | Physician Assistant | 70 W Gore St, Ste 202, Orlando, FL 32806-1124 | 2005-08-01 |
| 1215408802 | Jason Jeffrey Carter | Physical Therapy Assistant | 21000 S Frankfort Square Rd Ste D, Frankfort, IL 60423-9386 | 2018-12-08 |
| Street Address |
2001 S WIESBROOK RD |
| City | WHEATON |
| State | IL |
| Zip Code | 60189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731370 | Eveline Faith Tan | Podiatrist | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2005-06-23 |
| 1194106351 | Kathleen Jane Ryan Schroeder | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2015-06-14 |
| 1275927998 | Luke Lusk | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2015-03-19 |
| 1720404676 | Dana L Kolzow | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2014-03-14 |
| 1750621058 | Matthew Thomas Rome | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2013-02-22 |
| 1407125081 | Tonya Davis | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2011-12-27 |
| 1295886356 | Cynthia A George-michalik | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2007-01-16 |
| 1316045206 | Lori L Laycock | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2006-09-21 |
| 1689781742 | Maritsa T Pedersen | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2006-08-24 |
| 1932214186 | Ronald G Severino | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023599198 | Thrive Life Wellness Center Inc | Family Medicine | 933 W Liberty Dr, Wheaton, IL 60187-4846 | 2018-08-27 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1982925657 | Kate H.a. Liu | Family Medicine | 2001 Wiesbrook Rd, Wheaton, IL 60189 | 2010-06-17 |
| 1427202589 | Anthony John Tedeschi | Family Medicine | 115 Christina Cir, Wheaton, IL 60189-3115 | 2008-11-15 |
| 1649394040 | Richard Patrick Delaney | Family Medicine | 3929 Ferrara Drive, Connecticut Belair Medical Park, Wheaton, MD 20906 | 2007-03-19 |
| 1376672188 | Jesus Alberto Gamez II | Family Medicine | 11141 Georgia Ave, Suite 508, Wheaton, MD 20902-4637 | 2007-03-05 |
| 1699801472 | Joseph M Nemeth | Family Medicine | 122 S County Farm Rd, Ste A, Wheaton, IL 60187-4594 | 2007-02-26 |
| 1306971627 | Center for Health and Healing, S.c. | Family Medicine | 2150 Manchester Rd, Ste 101, Wheaton, IL 60187-4598 | 2007-02-23 |
| 1164504874 | Thomas F Drost Jr. | Family Medicine | 721 E Roosevelt Rd, Wheaton, IL 60187-5646 | 2006-10-20 |
| 1992806509 | Mark Christopher Gillis | Family Medicine | 150 E Willow Ave, Wheaton, IL 60187-5476 | 2006-09-26 |
| Find all providers in WHEATON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.