Provider Demographics
NPI:1528053378
Name:CARTER ORTHOPEDICS LTD
Entity type:Organization
Organization Name:CARTER ORTHOPEDICS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CPO
Authorized Official - Phone:814-455-5383
Mailing Address - Street 1:1910 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1148
Mailing Address - Country:US
Mailing Address - Phone:814-455-5383
Mailing Address - Fax:814-454-8989
Practice Address - Street 1:1910 W 26TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1148
Practice Address - Country:US
Practice Address - Phone:814-455-5383
Practice Address - Fax:814-454-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010609550001Medicaid
PA205473OtherHIGHMARK
PA1010609550001Medicaid