Provider Demographics
NPI:1063478733
Name:CARTER, STEPHEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-2417
Practice Address - Street 1:757 NORLAND AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4230
Practice Address - Country:US
Practice Address - Phone:717-217-6986
Practice Address - Fax:717-217-6885
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD049087L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherMULTIPLAN/PHCS
PA266530OtherUNISON
PA6794019OtherAETNA HMO
PA1580736OtherGATEWAY
PA451372OtherUNITED HEALTH CARE (MAMSI)
PA1167382OtherUNITED HEALTH CARE (MAMSI)
PA25-1716306OtherINFORMED
PA472812OtherHIGHMARK BLUE SHIELD
PA1871653519OtherHEALTH AMERICA
PAG920-0114/KDM4CUOtherCAREFIRST
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA5764238OtherAETNA NON-HMO
PA001764851 0003Medicaid
PA25-1716306OtherHEALTHNET/TRICARE
PAMD049087LOtherLICENSE
PA1167382OtherMAMSI
PA25-1716306OtherFIRST HEALTH
PA25-1716306OtherDEVON
PA25-1716306OtherINTERGROUP
PA25-1716306OtherGREATWEST
PA5001081OtherCAPITAL BLUECROSS
PA120420407OtherDEPT OF LABOR
PA867633OtherMEDICARE GROUP #
PAP00700653OtherRAILROAD MEDICARE
PAP00700653OtherRAILROAD MEDICARE
PA25-1716306OtherHEALTHNET/TRICARE
PA472812OtherHIGHMARK BLUE SHIELD