DR. JOHN T CARROLL


Address: 455 Boston Post Rd Ste 8, Old Saybrook, CT 06475-1554
Phone: 8605100502

DR. JOHN T CARROLL (NPI# 1508946054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508946054
Entity Type Individual
Full Name DR. JOHN T CARROLL
Credential DPM
Practice Address 455 Boston Post Rd Ste 8
Old Saybrook
CT 06475-1554
Mailing Address 196 Parkway S 302
Waterford
CT 06385-1234
Practice Telephone 8605100502
Practice Fax Number 8605100551
Mailing Telephone 8604471488
Mailing Fax Number 8604471489
Enumeration Date 2006-10-17
Last Update Date 2016-05-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0000X Podiatrist
Specialization: Sports Medicine
000027 CT Podiatric Medicine & Surgery Service Providers
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
000027 CT Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004006276 05

Other Providers JOHN CARROLL

NPI Name Taxonomy Address Enumeration
1043853658 John Carroll Marriage & Family Therapist 400 W 23rd St Apt 5j, New York, NY 10011-2176 2019-10-26
1376852301 John Carroll Emergency Medicine 2727 W Heading Ave, West Peoria, IL 61604-4981 2010-09-24
1417151440 John Raymond Carroll Student in an Organized Health Care Education/Training Program 42 E. Laurel Rd, Udp At Umdnj-som, Dept. of Family Medicine, Rm 2100, Stratford, NJ 08084 2007-06-13
1396869210 John Francis Carroll Pediatrics 108 Canal Walk Blvd, Somerset, NJ 08873-7277 2007-03-17
1457379042 John Thomas Carroll Obstetrics & Gynecology 503 Thornhill Dr, Carol Stream, IL 60188-2780 2006-07-18
1952340069 John L Carroll Dentist 1020 5th St Se, Winter Haven, FL 33880-4210 2006-06-05
1063468932 John Anthony Carroll Internal Medicine 8328 E Hartford Dr, Scottsdale, AZ 85255-6520 2006-05-25
1508811860 John D Carroll Internal Medicine 10689 Hardin Valley Rd, Knoxville, TN 37932-1504 2006-05-24
1376511717 John M Carroll Internal Medicine 390 Pleasant St, Malden, MA 02148-8114 2006-03-10
1669442869 John Michael Carroll Pediatrics 6108 Garners Ferry Rd, Columbia, SC 29209-1401 2006-01-23

Office Location

Street Address 455 BOSTON POST RD STE 8
City OLD SAYBROOK
State CT
Zip Code 06475-1554

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912464223 Kathleen Malcolm Physical Medicine & Rehabilitation Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 2019-02-22
1841661469 Laura M. Shires, Lcsw, LLC Social Worker 24 Ledge Road, Old Saybrook, CT 06475 2015-10-08
1316323397 Robyn Reilly Nurse Practitioner 1687 Rte 1, Old Saybrook, CT 06475 2015-08-03
1679858542 Brandi Taylor Counselor 263 Main St., Suite 301, Old Saybrook, CT 06475 2011-10-11
1346545670 Lucille Wymer Hartman Mechanotherapist 1775 Boston Post Road, Old Saybrook, CT 06475 2011-01-18
1508160631 Whole Health Wellness, LLC Clinic/Center 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 2011-01-04
1184948481 Maria S. Foss-rand Counselor 251 Main St., Suite 100, Old Seybrook, CT 06475 2010-03-16
1467658161 Rick Morant Dmd Ms LLC Dentist 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 2007-06-21
1174724801 Richard P Benoit Dmd PC Dentist 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 2007-05-30
1194932392 Omotayo Elizabeth Awujoola Nurse Practitioner 20 Research Parkway, Old Saybrook, CT 06475 2007-05-17
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306199351 Starling Physicians PC Podiatrist 160 Hazard Ave, Enfield, CT 06082-3889 2012-10-15
1073887923 Bruce M Backer Podiatrist 272 Charles Ct, Orange, CT 06477-1629 2012-02-23
1275617102 Podiatric Medicine and Surgery of Fairfield County Podiatrist 49 Londonderry Dr, Greenwich, CT 06830-3508 2006-10-25
1679655443 Central Connecticut Footcare Center, LLC Podiatrist 807 Broad St., Meriden, CT 06450-3802 2006-10-20
1689782401 Chris Paul Kassaris Podiatrist 1881 Post Rd, Fairfield, CT 06824-5721 2006-08-29
1184632028 Peter T Labarbera Podiatrist 389 Highland Ave, Waterbury, CT 06708 2006-08-04
1487684288 Harvey D. Lederman Podiatrist 2531 Albany Ave, West Hartford, CT 06117-2308 2006-07-04
1588694764 Luca Di Matteo Podiatrist 538 Hopmeadow St, Simsbury, CT 06070-2415 2006-07-04
1669421665 Anthony Babigian Podiatrist 520 West Ave, Norwalk, CT 06850-4034 2006-05-08
1568427607 Benedict Charles Valentine II Podiatrist 8 Independence Dr, Marlborough, CT 06447-1408 2006-04-20
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Competitor

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City OLD SAYBROOK
Zip Code 06475

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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