RUSSELL P CARTER JR MD INC (NPI# 1841471166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841471166 |
| Entity Type | Organization |
| Organization Name | RUSSELL P CARTER JR MD INC |
| Practice Address |
200 Cottage Ave Suite 201 Manteca CA 95336-4935 |
| Practice Telephone | 2092394554 |
| Practice Fax Number | 2092394011 |
| Mailing Telephone | 2092394554 |
| Mailing Fax Number | 2092394011 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. RUSSELL PHILIP CARTER JR. (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 2092394554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G35573 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G355730 | 05 |
| Street Address |
200 COTTAGE AVE SUITE 201 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031693 | Michael Steven Davis | Internal Medicine | 200 Cottage Ave, Ste 203, Manteca, CA 95336-4935 | 2005-05-31 |
| 1548494974 | Greater Modesto Medical Surgical Associates, Inc. | Urology | 200 Cottage Ave, Suite 101, Manteca, CA 95336-4935 | 2009-05-13 |
| 1912183153 | Mchenry Medical Group, Inc. | Urology | 200 Cottage Ave, Sute 101, Manteca, CA 95336-4935 | 2008-01-17 |
| 1477675387 | Central Valley Eye Medical Group Inc. | Eyewear Supplier (Equipment, not the service) | 200 Cottage Ave, Ste 102, Manteca, CA 95336-4935 | 2007-04-04 |
| 1700942190 | Sleepmed of California | Durable Medical Equipment & Medical Supplies | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-12-29 |
| 1760594089 | Carmelita Casison Nisperos | Pediatrics | 200 Cottage Ave, Suite 202, Manteca, CA 95336-4935 | 2006-08-31 |
| 1831206432 | Prabhjit S. Purewal, Md, Inc. | Non-Pharmacy Dispensing Site | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-08-23 |
| 1760494066 | Holly Noel Reece | Physician Assistant | 200 Cottage Ave, Ste 103, Manteca, CA 95336-4935 | 2006-08-13 |
| 1225073588 | Valley Associated Urology Medicare Group Inc | Urology | 200 Cottage Ave, Ste 101, Manteca, CA 95336-4935 | 2006-06-19 |
| 1649222118 | Prabhjit S. Purewal, Md, Inc | Specialist | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932442704 | Gilda Camama | Internal Medicine | 1287 Maple Valley St, Manteca, CA 95336-5123 | 2013-03-31 |
| 1033409644 | Swati Pathak | Internal Medicine | 165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 | 2011-04-15 |
| 1518128222 | Anita Kumari | Internal Medicine | 1138 Norman Dr, Manteca, CA 95336 | 2008-06-24 |
| 1053399980 | Abdul Waheed Khan | Internal Medicine | 1144 Norman Dr, Suite 205, Manteca, CA 95336-5925 | 2005-12-30 |
| 1760465710 | Randall Kelvin Yee | Internal Medicine | 165 Saint Dominics Dr, Suite #201, Manteca, CA 95337-7802 | 2005-11-23 |
| 1659354868 | Rahul Lalitchandra Patel | Internal Medicine | 1148 Norman Dr, Ste 4, Manteca, CA 95336-5961 | 2005-11-22 |
| 1992791180 | Anil K Sain | Internal Medicine | 1140 Norman Dr, Suite 1, Manteca, CA 95336-5900 | 2005-09-22 |
| 1851742118 | Kyi Lay San | Internal Medicine | 165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 | 2016-06-28 |
| 1104238104 | Samuel Antonio Galicia | Internal Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2014-05-24 |
| 1457783458 | Yosemite Inpatient Services, A Medical Corporation | Internal Medicine | 1205 E North St, Manteca, CA 95336-4932 | 2013-08-01 |
| Find all providers in MANTECA | ||||
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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.