Provider Demographics
NPI:1407821416
Name:CARTER, SION WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SION
Middle Name:WILLIAM
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38135 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:813-528-4975
Mailing Address - Fax:
Practice Address - Street 1:38135 MARKET SQ
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-7505
Practice Address - Country:US
Practice Address - Phone:813-782-8829
Practice Address - Fax:813-355-5099
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME591522085R0202X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01609645OtherR&R MEDICARE
FL010924700Medicaid
FLP01667519OtherR&R MEDICARE UCC
FLP01667519OtherR&R MEDICARE UCC
FL010924700Medicaid
FL11982Q - UCCMedicare PIN