Provider Demographics
NPI:1346230018
Name:CARTER, JAMES E JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:CARTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:E
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:DEPT CH 14389
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60055-4389
Mailing Address - Country:US
Mailing Address - Phone:785-295-8108
Mailing Address - Fax:785-231-5996
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1684
Practice Address - Country:US
Practice Address - Phone:216-448-4325
Practice Address - Fax:216-448-8635
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34770207RC0000X
NY176576207RC0000X
IN01042601207RC0000X
CO0057862207RC0000X
OH35.148963207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100474280Medicaid
AZ983206Medicaid
AZP00288239OtherRAILROAD MEDICARE
AZZ107488OtherMEDICARE GROUP
IN100474280Medicaid
AZ983206Medicaid
AZZ107488Medicare PIN
AZF12751Medicare UPIN