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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004006276 | 05 |
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 |
Street Address |
455 BOSTON POST RD STE 8 |
City | OLD SAYBROOK |
State | CT |
Zip Code | 06475-1554 |
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 |
Find all providers in zip 06475 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | OLD SAYBROOK |
Zip Code | 06475 |
Please comment or provide details below to improve the information on DR. JOHN T CARROLL.
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.