Individual ProviderJimmy Keith CarterAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address104 West 5th, Suite 250e, Spokane, WA 99204(509) 838-8610PECOS EnrollmentBased on the most recent information from CMS, provider Jimmy Keith Carter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1033228747Provider TypeIndividualFull NameCarter, Jimmy KeithTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date8/29/2006Last Updated10/16/2007Contact InformationPractice LocationPractice Address104 West 5th, Suite 250e, Spokane, WA 99204Phone(509) 838-8610Fax(509) 835-4058Mailing LocationMailing Address104 West 5th, Suite 250e, Spokane, WA 99204Phone(509) 838-8610Fax(509) 835-4058Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense43707NevadaProvider IdentifiersIDDescriptionIssuerID8391740DescriptionMedicaidIssuerUnlistedWashington