DR. CARY LEE CARPENTER (NPI# 1053311548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053311548 |
| Entity Type | Individual |
| Full Name | DR. CARY LEE CARPENTER |
| Credential | M.D. |
| Practice Address |
15809 Ne 23rd St Choctaw OK 73020-8428 |
| Mailing Address |
Po Box 10 Choctaw OK 73020-0010 |
| Practice Telephone | 4053909600 |
| Practice Fax Number | 4053909400 |
| Mailing Telephone | 4053909600 |
| Mailing Fax Number | 4053909400 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-01-21 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18237 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP PTAN - CARY CARPENTER M.D. PC DBA CHOCTAW FAMILY | 900522085 | 01 | |
| OK | 100113820B | 05 |
| Street Address |
15809 NE 23RD ST |
| City | CHOCTAW |
| State | OK |
| Zip Code | 73020-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518323856 | Nhu Thuy Luong | Physician Assistant | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2015-12-31 |
| 1164597860 | Billy Grant Sanders | Physician Assistant | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2006-11-21 |
| 1124108378 | Cary Carpenter, M.d. P.C. | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2006-10-16 |
| 1639267362 | Bruce A. Stafford, Do, PC | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666151 | Healthcare Express, LLP | Clinic/Center | 14321 Ne 23rd Street, Choctaw, OK 73020 | 2016-09-07 |
| 1497123798 | Steven Kyle Toelle | Counselor | 14700 Ne 50th Street, Choctaw, United States, OK 73020 | 2015-09-03 |
| 1295126936 | Maria Caram | Behavioral Analyst | 8525 Bella Circle, Choctaw, OK 73020 | 2015-02-17 |
| 1881948859 | Michaelanne Kelly | Physical Therapy Assistant | 1880 N Triple X Rd, Choctaw, OK 73020 | 2012-10-30 |
| 1508189465 | Helen Marie Allred | Counselor | 14453 Se 29th Street, Ste D, Choctaw, OK 73020 | 2010-03-08 |
| 1497944524 | Jaimie Sue Wright | Counselor | 14455 Steele Dr, Choctaw, OK 73020 | 2007-10-15 |
| 1972794949 | Jill Mechelle Loveless | Pharmacist | 2350 N Harper St, Choctaw, OK 73020 | 2007-08-06 |
| 1972719615 | Mary Neely Clayton | Dentist | 2408 N Main, Choctaw, OK 73020 | 2007-05-16 |
| 1215061486 | Belaben B Patel | Counselor | 14625 Ne3rd, Choctaw, OK 73020 | 2007-03-16 |
| 1740314129 | Tracy Ann Gasbarra | Dentist | 2401 N Henney Rd, Choctaw, OK 73020 | 2007-03-15 |
| Find all providers in zip 73020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441896 | Choctaw Wellness Enterprises, LLC | Family Medicine | 15803 Ne 23rd St, Choctaw, OK 73020-8428 | 2007-05-31 |
| 1689768285 | Gregory P. Kelley D.o. Inc. | Family Medicine | 13190 Ne 23rd Street, Choctaw, OK 73020 | 2006-10-03 |
| 1629009931 | Larry G Mobly | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2006-07-05 |
| 1043256019 | Gregory Paul Kelley | Family Medicine | 13190 Ne 23rd St, Choctaw, OK 73020-8621 | 2006-06-20 |
| 1174044796 | Oluwakemi Oluwafunmilota Osholake | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2017-07-05 |
| 1144639840 | Aubrey E Williamson | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2014-08-06 |
| 1962840504 | Will D Heise | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2013-06-05 |
| 1063736007 | Yi Chen | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2010-03-19 |
| 1457540015 | Ssm Health Care of Oklahoma Inc | Family Medicine | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2007-10-19 |
| 1417036070 | Margarita Guzman | Family Medicine | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2006-11-03 |
| Find all providers in CHOCTAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.