MEDICARE: DR. JAMES M CARVER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	17000	OK
2	207Q00000X	Family Medicine Physician	0434654	KS

General Provider Information

NPI Number	:	1265499511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES M CARVER MD

Provider Business Mailing Address
First Line	:	226 SE DEBELL AVE
Second Line	:	BLDG. A
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2300
Country	:	US
Telephone Number	:	918-333-7200
Fax Number	:	918-331-1091

Provider Business Practice Location Address
First Line	:	1411 W 4TH ST STE G
Second Line	:
City	:	COFFEYVILLE
State	:	KS
Zip	:	67337-3300
Country	:	US
Telephone Number	:	620-251-5400
Fax Number	:	620-251-5412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	05/16/2011

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Directions to “ DR. JAMES M CARVER MD” Practice Location

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