National Provider Identifier
Jake William Carter, MD
Jake William Carter, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Caledonia, NY and a listed phone number of (585) 538-6250.
Profile Overview
- NPI
- 1669091435
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 13, 2020
- Last Updated
- June 23, 2023
Practice Location
- 3350 Brown RD
- Caledonia, NY 14423-9534
Phone: (585) 538-6250
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1669091435
- Entity Type
- Individual
- Last Name
- Carter
- First Name
- Jake
- Middle Name
- William
- Credential
- MD
- Mailing Street Address
- 3350 Brown RD
- Mailing City
- Caledonia
- Mailing State
- NY
- Mailing ZIP Code
- 14423-9534
- Mailing Country
- US
- Mailing Phone
- (585) 538-6250
- Practice Street Address
- 3350 Brown RD
- Practice City
- Caledonia
- Practice State
- NY
- Practice ZIP Code
- 14423-9534
- Practice Country
- US
- Practice Phone
- (585) 538-6250
- Enumeration Date
- April 13, 2020
- Last Updated
- June 23, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)