Provider Demographics
NPI:1033182274
Name:CARTER, FALANA (MD)
Entity Type:Individual
Prefix:
First Name:FALANA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:7556 TEAGUE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1213
Practice Address - Country:US
Practice Address - Phone:410-551-0499
Practice Address - Fax:410-799-9070
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236510207Q00000X
PAMD438639207Q00000X
MDD0071697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024046850001Medicaid
MD570096500Medicaid
VA78107OtherSENTARA/OPTIMA
MDP00940457OtherRAILROAD MEDICARE
VA010076536Medicaid
MD97287601OtherCAREFIRST BCBS OF MD
VA143575OtherANTHEM
VA541595397OtherCIGNA
MDP19620OtherCAREFIRST BCBS POS
MD244619OtherEHP/PRIORITY PARTNERS
MD6629079OtherAETNA-HMO
VA7004609OtherAETNA
VA541595397OtherVIRGINIA HEALTH NETWORK
MD0115OtherCAREFIRST BCBS BLUECHOICE
VA541595397OtherTRICARE
MD7004609OtherAETNA PPO
MDP19620OtherCAREFIRST BCBS POS
VA004754B28Medicare ID - Type Unspecified
PA1024046850001Medicaid