Individual
DR. JOHN A CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 E SUNFLOWER RD STE 100A, CLEVELAND, MS 38732-2828
(662) 579-0118
(662) 846-5464
Mailing address
5943 STADIUM DR, STE 1, KALAMAZOO, MI 49009-3016
(269) 552-2836
(269) 552-2964
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036106764
IL
208600000X
Surgery Physician
Primary
35897
MS
208600000X
Surgery Physician
4301067523
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35897
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301067523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036106764
IL STATE LICENSE
IL
05
—
036106764
—
IL
01
—
06932023
BLUE CROSS BLUE SHIELD
IL
05
—
1457353658
—
MI
01
—
286294
PERSONAL CARE
IL
01
—
370661230
TAXPAYER ID #
IL
01
—
752951
HEALTHLINK
IL
01
—
CB3741
RR MEDICARE GROUP #
IL
01
—
P00320817
RR MEDICARE PIN
IL
Enumeration date
06/01/2005
Last updated
12/15/2025
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