Provider Demographics
NPI:1326020579
Name:CAROW, JAMES F (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:CAROW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:451 HEALTH PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-8242
Mailing Address - Country:US
Mailing Address - Phone:269-655-3065
Mailing Address - Fax:269-655-0585
Practice Address - Street 1:451 HEALTH PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-8242
Practice Address - Country:US
Practice Address - Phone:269-655-3065
Practice Address - Fax:269-655-0585
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301073675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700C910950OtherBCBSM
MICA4396OtherRAILROAD MEDICARE
MI238601OtherMEDICARE RURAL HEALTH CLINIC NUMBER
MI4957314Medicaid
D75254Medicare UPIN
MIM20520057Medicare PIN