Provider Demographics
NPI:1821179235
Name:CARTER, AMY M (MD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 652
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-0652
Mailing Address - Country:US
Mailing Address - Phone:765-599-3400
Mailing Address - Fax:765-599-3500
Practice Address - Street 1:2200 FOREST RIDGE PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-2943
Practice Address - Country:US
Practice Address - Phone:765-599-3400
Practice Address - Fax:765-599-3500
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01047065207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200117280Medicaid
IN200117280Medicaid
IN136310EMedicare PIN