Physician Compare National (NPI:1639378250)

HEALTHCARE PROVIDER: CHRISTOPHER MICHAEL CARTER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639378250
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971769225
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180525001623
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARTER
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHERN INDIANA PATHOLOGISTS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5395776231
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	601 W 2ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	BLOOMINGTON HOSPITAL DEPT OF PATHO
	Group Practice or individual's line 2 address
City	BLOOMINGTON
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	474032317
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8123366821
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150056
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	151306
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y