MEDICARE: RICHARD NEAL CARTER D.O.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	34.010100	OH
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	BP10036910	TX
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	2507	TN

General Provider Information

NPI Number	:	1508168303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD NEAL CARTER D.O.

Provider Business Mailing Address
First Line	:	75 ARCH ST STE 302
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44304-1432
Country	:	US
Telephone Number	:	330-375-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 ARCH ST STE 302
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44304-1432
Country	:	US
Telephone Number	:	330-375-3000
Fax Number	:

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

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	09/03/2024

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