DR. KEVIN R CARTER (NPI# 1659422749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659422749 |
| Entity Type | Individual |
| Full Name | DR. KEVIN R CARTER |
| Credential | DO |
| Practice Address |
50 N Perry St Pontiac MI 48342-2217 |
| Mailing Address |
200 Oceangate Suite 100 Long Beach CA 90802-4317 |
| Practice Telephone | 2483385604 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101015589 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RRMC | P00737290 | 01 |
| MI | BCBS OF MI GROUP | 300F361250 | 01 |
| MI | 1659422749 | 05 | |
| MI | MEDICARE RR GROUP PIN / PALMETO GBA | CA3518 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Schaefer Rd., Dearborn, MI 481263698 | 3135812600 | 3135810228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823393 | Kevin Kopala Carter | Student in an Organized Health Care Education/Training Program | 204 S Rampart Blvd, Los Angeles, CA 90057-1404 | 2019-04-02 |
| 1669782827 | Kevin Dale Carter | Chore Provider | 2839 G St, Merced, CA 95340-2133 | 2010-10-20 |
| 1700818812 | Kevin Bruce Carter | Dentist | 1727 Sadie Ln Ste 2a, Louisville, KY 40216-2753 | 2006-07-07 |
| 1497718365 | Kevin Cornelius Carter | Chiropractor | 136 Walton Ferry Rd Ste 1b, Hendersonville, TN 37075-3928 | 2006-04-10 |
| 1164424107 | Kevin Patrick Carter | Audiologist | 1326 2nd St, Richlands, VA 24641-2453 | 2005-08-10 |
| 1356989677 | Kevin Carter | Pharmacist | 5959 Royal Ln Ste 515, Dallas, TX 75230-3890 | 2019-12-17 |
| 1396381059 | Kevin Carter | Behavior Technician | 1400 Bailey Ave, Chattanooga, TN 37404-2903 | 2019-11-18 |
| 1851850028 | Kevin Lamont Carter | Counselor | 335 Greenbrier Dr Ste 206, Charlottesville, VA 22901-1695 | 2019-03-18 |
| 1780150433 | Kevin Brian Carter | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2018-10-21 |
| 1063902922 | Kevin J Carter | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2018-05-16 |
| Street Address |
50 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890856 | Matthew Swayze | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1336765486 | Mikita Patel | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-24 |
| 1306461264 | Brandon Knight | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1295350122 | Stephanie Schwartz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1437774833 | Cailyn D'haem | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-11 |
| 1790300358 | Sara F Iqbal | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1053936617 | Bodrie J Jensen | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1033734694 | Neal R Krentz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1154946713 | Gurkirat Jawanda | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821016262 | Adeel Khalid | Radiology | 461 West Huron, Pontiac, MI 48341-1651 | 2006-07-17 |
| 1710911961 | Khalid & Associates Md PC | Radiology | 461 W Huron Street, Pontiac, MI 48341-1601 | 2006-07-11 |
| 1609499656 | Nicholas Mills | Radiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-05-26 |
| 1750942702 | Alexander Tsibulski | Radiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2019-06-20 |
| 1639669831 | Christopher Charlie Zarour | Radiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2018-05-14 |
| 1033649439 | Harris Shaikh | Radiology | 50 N Perry St, Pontiac, MI 48342 | 2017-06-18 |
| 1831625433 | Daniel Elias Fuguet | Radiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-05-03 |
| 1609224179 | Joseph Pulito | Radiology | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 | 2016-05-25 |
| 1649686171 | Kyle Sierra | Radiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2014-07-03 |
| 1881005759 | Bronson Yaldoo | Radiology | 50 N Perry St, Pontiac, MI 48342-2217 | 2014-05-14 |
| Find all providers in PONTIAC | ||||
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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.