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DR. CLINTON JOHN CARTER M.D. NPI 1679678270


NPI Information

NPI: 1679678270
Provider Name: DR. CLINTON JOHN CARTER, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
800 E DAWSON ST
TYLER, TX
ZIP 75701
Phone: (903) 593-8441
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DR. Clinton John Carter, M.D. is an emergency medicine in Tyler, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Clinton John Carter, M.D. NPI is 1679678270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 E DAWSON ST
TYLER, TX
ZIP 75701-036
Phone: (903) 593-8441

The NPI 1679678270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 3/31/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineM3958TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1106454512MEDICAIDTEXAS
2612727MEDICARE PINTEXAS
30076PAOTHERTEXASBCBS
4184728701MEDICAIDTEXAS
5P01490696OTHERTEXASRAIL ROAD
68EX119OTHERTEXASBCBS
775-2616977-001OTHERTEXASTRICARE
88X8162OTHERTEXASBCBS
9750818167022OTHERTEXASTRICARE
10I71587MEDICARE UPIN
1175-2616977-002OTHERTEXASTRICARE
1275-0818167-022OTHERTEXASTRICARE
13415917YMAFMEDICARE PINTEXAS
1475-0818167-048OTHERTEXASTRICARE
15P00392999MEDICARE PINTEXAS
1675-2616977-028OTHERTEXASTRICARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.