Samuel R Carter (NPI# 1760428973, PAC ID# 5496843120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760428973 |
| PAC ID by PECOS | 5496843120 |
| Professional Enrollment ID | I20071114000205 |
| Full Name | Samuel R Carter |
| Address |
2024 S Maiden Ln Suite 203 Joplin MO 64804-0319 |
| Phone Number | 4176594661 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| 260001 | MERCY HOSPITAL JOPLIN |
| 261338 | MERCY HOSPITAL CARTHAGE |
| 261331 | FREEMAN NEOSHO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2024 S Maiden Ln, Suite 203, Joplin, MO 64804-0319 | 4176594661 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
2024 S MAIDEN LN SUITE 203 |
| City | JOPLIN |
| State | MO |
| Zip | 64804-0319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Richins | Podiatry | 2024 S Maiden Ln, Suite 201, Joplin, MO 64804-0319 | |
| Valerie J Fleming | Nurse Practitioner | 2024 S Maiden Ln, Joplin, MO 64804-0319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Whisman | Psychologist, Clinical | 3405 S Hammons Blvd, Kevin M Whisman Psyd, Joplin, MO 64804 | |
| Kathleen Lacey | Psychologist, Clinical | 1730 S Jackson Ave, Joplin, MO 64804-0555 | |
| Kim Wright | Clinical Social Worker | Renewed Mental Health LLC | 1530 S Main St, Joplin, MO 64804-0750 |
| Kimberly A Wood | Internal Medicine | 2615 E 20th St, Joplin, MO 64804-1039 | |
| Laurie L Behm | Physical Medicine and Rehabilitation | Freeman-oak Hill Health System | 1905 W 32nd St, Suite 403, Joplin, MO 64804-1501 |
| Daniel R Osborn | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Chad L Carter | Optometry | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Troy R Damour | Family Medicine | 1905 W 32nd St, Suite 303, Joplin, MO 64804-1512 | |
| Roger H Schoenfeld | Urology | 1905 W 32nd St, Suite 302, Joplin, MO 64804-1512 | |
| Hugh L Lacey | Obstetrics/gynecology | 1905 W 32nd St, Suite 306, Joplin, MO 64804-1512 | |
| Find all physicians in zip 64804 | |||
| City | JOPLIN |
| Zip Code | 64804 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JOPLIN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel R Carter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.