Individual
SAMUEL DAVID CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9880 ANGIES WAY, SUITE 250, LOUISVILLE, KY 40241-2851
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42798
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000624609
ANTHEM - NOTC
KY
01
—
000023036R
HUMANA - NOTC
KY
01
—
00533152
MEDICARE - KY - NOTC
KY
01
—
106460
SIHO - NOTC
KY
05
—
1750422069
—
VA
05
—
200958310
—
IN
01
—
50025281
PASSPORT - NOTC
KY
05
—
7100078110
—
KY
Enumeration date
02/09/2007
Last updated
10/13/2020
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