Healthcare Provider Details

I. General information

NPI: 1194756023
Provider Name (Legal Business Name): JAMES F CARSTEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9309 APISON PIKE
OOLTEWAH TN
37363-4340
US

IV. Provider business mailing address

4976 ALPHA LN
HIXSON TN
37343-5470
US

V. Phone/Fax

Practice location:
  • Phone: 423-551-3562
  • Fax: 423-551-3563
Mailing address:
  • Phone: 423-497-5355
  • Fax: 423-308-0281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036080965
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number63261
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: