Individual
RYAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-9638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
228944
MA
207P00000X
Emergency Medicine Physician
49973
CT
207P00000X
Emergency Medicine Physician
Primary
MD13052
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011211701
RI MEDICARE
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
09/10/2009
NHPRI
RI
01
—
10/27/2009
TUFTS HEALTH PLAN
MA
01
—
11/02/2009
BCBS
RI
05
—
110082578A
—
MA
01
—
1962455022
UEMF GROUP NPI
RI
01
—
939025129
UEMF RI MEDICARE GROUP
RI
05
—
RC76597
—
RI
Enumeration date
05/06/2008
Last updated
07/27/2023
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