STACEY M CARTER (NPI# 1720461809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720461809 |
| Entity Type | Individual |
| Full Name | STACEY M CARTER |
| Credential | P.A. |
| Practice Address |
234 Goodman St Cincinnati OH 45219-2364 |
| Mailing Address |
Po Box 636256 Cincinnati OH 45263-6256 |
| Practice Telephone | 5135585281 |
| Practice Fax Number | 5135585791 |
| Mailing Telephone | (513) 245-3600 |
| Mailing Fax Number | 5132453672 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005083RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 018743 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04247123 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1437323003 | Stacey L Carter | Counselor | 5200 Clark Ave., Lakewood, CA 90714 | 2008-04-15 |
| 1902074537 | Stacey A Carter | Physician Assistant | 2 Roosevelt Ct, Clifton Park, NY 12065-6038 | 2008-02-18 |
| 1972637205 | Stacey D Carter | Pharmacist | 710 Mcmeans Ave, Pharmacy Dept., Bay Minette, AL 36507-3348 | 2007-03-16 |
| 1720522931 | Stacey Carter | Student in an Organized Health Care Education/Training Program | 3303 W 26th St, Chicago, IL 60623-4036 | 2016-12-06 |
| 1619248184 | Stacey C Carter | Urology | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 | 2012-01-15 |
| 1255610663 | Stacey Carter | Licensed Practical Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2011-08-16 |
| 1831409689 | Stacey Ann Carter | Surgery | 1400 Pressler St, Suite Fct 7.6088, Houston, TX 77030-3722 | 2010-10-14 |
| 1528246576 | Stacey A. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2008-02-01 |
| Street Address |
234 GOODMAN ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798187 | Jody Brennan | Advanced Practice Midwife | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-05-31 |
| 1639770035 | Maria Hilton | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-03 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1417564675 | Sarah Henkes | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-30 |
| 1245846229 | Isabel Lynn Renner | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-16 |
| 1720606650 | Maura Di Nicola | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-07-07 |
| 1215553912 | Brendan R Wilson | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-06-19 |
| 1902427412 | Fabiane Retzner | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1528671831 | Kekeli Diane Ominira Amara | Physician Assistant | 1535 Elkton Pl, Cincinnati, OH 45224-2517 | 2020-08-26 |
| 1609486281 | Taylor Diane Williams | Physician Assistant | 26 Sugarmaple Ct, Cincinnati, OH 45236-1162 | 2020-08-07 |
| 1023634607 | Melissa Marie Louis | Physician Assistant | 44 W Freedom Way Unit 823, Cincinnati, OH 45202-0008 | 2020-06-19 |
| 1437774726 | Christina Marie Kohorst | Physician Assistant | 2500 Warsaw Ave Apt 43, Cincinnati, OH 45204-1534 | 2020-06-11 |
| 1164050621 | Cossette Buchman | Physician Assistant | 5031 W Eastwood Cir, Cincinnati, OH 45227-1405 | 2020-03-31 |
| 1730729120 | Lindsey Deal Heim | Physician Assistant | 123 Goethe St, Cincinnati, OH 45202-8953 | 2020-01-14 |
| 1316598675 | Crystal Ann Fortuna | Physician Assistant | 621 E Mehring Way Unit 1101, Cincinnati, OH 45202-3529 | 2019-09-26 |
| 1073082400 | Elizabeth Lim | Physician Assistant | 11150 Montgomery Rd, Cincinnati, OH 45249-2300 | 2018-11-14 |
| 1497238844 | Christopher Barton Hackett | Physician Assistant | 276 W Crest Dr, Cincinnati, OH 45215-3703 | 2018-09-12 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.