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

NPI Information

  • NPI: 1124108378
  • Provider Name: CARY CARPENTER, M.D. P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CHOCTAW FAMILY MEDICINE & AESTHETICS
  • Address: 15809 NE 23RD ST
    CHOCTAW, OK
    ZIP 73020
  • Phone: (405) 390-9600

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NPI Details

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 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
1207Q00000XFamily Medicine18237OKLAHOMAYes

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
11053311548OTHERNPI - CARY CARPENTER M.D.
2241409404OTHERMEDICARE INDIVIDUAL P-TAN FOR BRUCE STAFFORD, D.O.
3446-46-7483-001OTHEROKLAHOMABCBS-BRUCE STAFFORD, DO
41861479255OTHERNPI - BRUCE STAFFORD, D.O.
5900522085OTHERMEDICARE GROUP P-TAN --CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE
61861479255OTHEROKLAHOMANPI-BRUCE STAFFORD, DO -
7I00757OTHERMEDICARE UPIN - BRUCE STAFFORD, D.O.
8100113820BMEDICAIDOKLAHOMA
9100113820EMEDICAIDOKLAHOMA
10444745244-001OTHEROKLAHOMACARY CARPENTER -BCBS
11249341123OTHERMEDICARE INDIVIDUAL P-TAN - CARY CARPENTER M.D.
12100113820DMEDICAIDOKLAHOMA
131164597860OTHERNPI - PHYSICIAN ASSISTANT BILLY SANDERS
14200100040AMEDICAIDOKLAHOMA
1544646OTHEROKLAHOMABLUE LINCS - BRUCE STAFFORD, DO
16F43282OTHERMEDICARE 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: 11/21/2025

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