CARY CARPENTER M.D. P.C. NPI 1124108378

NPI Information

NPI: 1124108378
Provider Name: CARY CARPENTER, M.D. P.C.

Doing Business As: CHOCTAW FAMILY MEDICINE & AESTHETICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
15809 NE 23RD ST
CHOCTAW, OK
ZIP 73020
Phone: (405) 390-9600
Get Directions

CARY CARPENTER, M.D. P.C. is a family medicine in Choctaw, OK. The provider is 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. CARY CARPENTER, M.D. P.C. NPI is 1124108378. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Choctaw Family Medicine & Aesthetics.

The provider's business location address is:

15809 NE 23RD ST
CHOCTAW, OK
ZIP 73020-428
Phone: (405) 390-9600
Fax: (405) 390-9400

The provider's authorized official is Lorrie A Carpenter .
The authorized official title is Administrator and has the following contact phone number (405) 808-7765.

The CLIA number assigned to this NPI record is 37D0973256 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		18237	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1053311548	OTHER		NPI - CARY CARPENTER M.D.
2	241409404	OTHER		MEDICARE INDIVIDUAL P-TAN FOR BRUCE STAFFORD, D.O.
3	446-46-7483-001	OTHER	OKLAHOMA	BCBS-BRUCE STAFFORD, DO
4	1861479255	OTHER		NPI - BRUCE STAFFORD, D.O.
5	900522085	OTHER		MEDICARE GROUP P-TAN --CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE
6	1861479255	OTHER	OKLAHOMA	NPI-BRUCE STAFFORD, DO -
7	I00757	OTHER		MEDICARE UPIN - BRUCE STAFFORD, D.O.
8	100113820B	MEDICAID	OKLAHOMA
9	100113820E	MEDICAID	OKLAHOMA
10	444745244-001	OTHER	OKLAHOMA	CARY CARPENTER -BCBS
11	249341123	OTHER		MEDICARE INDIVIDUAL P-TAN - CARY CARPENTER M.D.
12	100113820D	MEDICAID	OKLAHOMA
13	1164597860	OTHER		NPI - PHYSICIAN ASSISTANT BILLY SANDERS
14	200100040A	MEDICAID	OKLAHOMA
15	44646	OTHER	OKLAHOMA	BLUE LINCS - BRUCE STAFFORD, DO
16	F43282	OTHER		MEDICARE UPIN - CARY CARPENTER M.D.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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