Basic Information
| Provider Information | |||||||||
| NPI: | 1063478733 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARTER | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172172417 | ||||||||
| Practice Location | |||||||||
| Address1: | 757 NORLAND AVE | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176986 | ||||||||
| FaxNumber: | 7172176885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2006 | ||||||||
| LastUpdateDate: | 02/18/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD049087L | PA | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 266530 | 01 | PA | UNISON | OTHER | 6794019 | 01 | PA | AETNA HMO | OTHER | 1580736 | 01 | PA | GATEWAY | OTHER | 451372 | 01 | PA | UNITED HEALTH CARE (MAMSI) | OTHER | 1167382 | 01 | PA | UNITED HEALTH CARE (MAMSI) | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 472812 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | BC3554462 | 01 | PA | DEA | OTHER | 1871653519 | 01 | PA | HEALTH AMERICA | OTHER | G920-0114/KDM4CU | 01 | PA | CAREFIRST | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 5764238 | 01 | PA | AETNA NON-HMO | OTHER | 001764851 0003 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | MD049087L | 01 | PA | LICENSE | OTHER | 1167382 | 01 | PA | MAMSI | OTHER | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 25-1716306 | 01 | PA | GREATWEST | OTHER | 5001081 | 01 | PA | CAPITAL BLUECROSS | OTHER | 120420407 | 01 | PA | DEPT OF LABOR | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | P00700653 | 01 | PA | RAILROAD MEDICARE | OTHER |