Provider Demographics
NPI:1760693196
Name:CARTHRON, JAMES ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALEXANDER
Last Name:CARTHRON
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 1:3052 SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2170
Mailing Address - Country:US
Mailing Address - Phone:989-493-4754
Mailing Address - Fax:
Practice Address - Street 1:1810 SPRINGWELLS ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209-1859
Practice Address - Country:US
Practice Address - Phone:248-843-5470
Practice Address - Fax:313-800-0149
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301084155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI9385074OtherAETNA
MI0731304OtherBCBSM
MI0731304OtherBCBSM