Provider Demographics
NPI:1104849074
Name:CARTER, MEGAN A (M D)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:A
Last Name:CARTER
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:A
Other - Last Name:LEAPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-269-5712
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:801 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-1641
Practice Address - Country:US
Practice Address - Phone:417-354-1150
Practice Address - Fax:417-354-1160
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115508207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204458806Medicaid
MO204458806Medicaid
I33090Medicare UPIN