Provider Demographics
NPI:1912210485
Name:ALLISON CARTER, MD, PC
Entity Type:Organization
Organization Name:ALLISON CARTER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-360-1264
Mailing Address - Street 1:500 E ROBINSON ST
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6658
Mailing Address - Country:US
Mailing Address - Phone:405-364-1264
Mailing Address - Fax:405-321-8683
Practice Address - Street 1:500 E ROBINSON ST
Practice Address - Street 2:SUITE 2400
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6658
Practice Address - Country:US
Practice Address - Phone:405-364-1264
Practice Address - Fax:405-321-8683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25123207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200296640AMedicaid
OK200296640AMedicaid