Physician Compare National (NPI:1669457065)

HEALTHCARE PROVIDER: RICARDO T.D.D. CARTER MD

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

Individual Professional Information
NPI	1669457065
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163491606
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100217000198
	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	RICARDO
	Individual professional first name
Provider Middle Name	TDD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	310 ELECTRIC AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 231
	Group Practice or individual's line 2 address
City	LEWISTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	170441369
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GEISINGER-LEWISTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390056
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	J C BLAIR MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390268
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOUNT NITTANY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y