MEDICARE: JAMES E CAROTHERS 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	207X00000X	Orthopaedic Surgery Physician	19005	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	020000488	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000052292	OTHER	KY	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	K005560	OTHER	KY	TRICARE

General Provider Information

NPI Number	:	1376546275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E CAROTHERS MD

Provider Business Mailing Address
First Line	:	2831 NEW HARTFORD RD
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-1320
Country	:	US
Telephone Number	:	270-926-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 NEW HARTFORD RD
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-1320
Country	:	US
Telephone Number	:	270-926-4100
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/30/2011

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Directions to “ JAMES E CAROTHERS MD” Practice Location

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