Active NPIIndividual provider

Dr. John T Carroll, DPM

Healthcare Provider in Old Saybrook, Connecticut

NPI Number1508946054
Practice location
455 Boston Post RD Ste 8, Old Saybrook, CT 06475-1554
Fax
860-510-0551
Last updated
May 19, 2016

John T Carroll is a Healthcare Provider based in Old Saybrook, CT. John T Carroll practices in Old Saybrook, CT and has the professional credentials of DPM. The NPI Number for John T Carroll is 1508946054 and holds a License No. 000027 (CT). The current practice location address for John T Carroll is 455 Boston Post RD Ste 8, Old Saybrook, CT 06475-1554 and can be reached out via phone at 860-510-0502 and via fax at 860-510-0551.

Provider Profile Details

NPI Number
1508946054
Provider Name
John T Carroll
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
455 Boston Post RD Ste 8, Old Saybrook, CT 06475-1554
Phone Number
860-510-0502
Fax Number
860-510-0551
Primary Taxonomy
Healthcare Provider · 213ES0131X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2006
Last Update Date
May 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Boston Post RD Ste 8
Old Saybrook, CT 06475-1554
Zip
06475-1554
Phone Number
860-510-0502
Fax Number
860-510-0551
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
196 Parkway S 302
Waterford, CT 06385-1234
City
Waterford
State
CT
Zip
06385-1234
Phone Number
860-447-1488
Fax Number
860-447-1489

License Information

License Number (1)
000027
License State (1)
CT
Taxonomy (1)
Podiatrist, Sports Medicine · 213ES0000X
License Number (2)
000027
License State (2)
CT
Taxonomy (2)
· 213ES0131X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John T Carroll, DPM?

The NPI number of Dr. John T Carroll, DPM is 1508946054. It was assigned on October 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John T Carroll, DPM?

Dr. John T Carroll, DPM is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in CT under license number 000027.

Where does Dr. John T Carroll, DPM practice?

The practice location is 455 Boston Post RD Ste 8, Old Saybrook, CT 06475-1554. The office can be reached at 860-510-0502 (phone) or 860-510-0551 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508946054 directly on the NPPES registry website.

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