JOHN R MCCARROLL (NPI# 1578517371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578517371 |
| Entity Type | Individual |
| Full Name | JOHN R MCCARROLL |
| Credential | MD |
| Practice Address |
201 Pennsylvania Pkwy #200 Indianapolis IN 46280-2301 |
| Practice Telephone | 3178121200 |
| Practice Fax Number | 3172081551 |
| Mailing Telephone | 3178121200 |
| Mailing Fax Number | 3172081551 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
01029928A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100461110A | 05 | |
| IN | RR MEDICARE | 200013394 | 01 |
| Street Address |
201 PENNSYLVANIA PKWY #200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960186 | Joel C Boaz | Neurological Surgery | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46260-1393 | 2005-05-27 |
| 1699127134 | Kenna Brown | Occupational Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-07-08 |
| 1487012670 | Mitzi Marie Stephens | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-02-03 |
| 1467825315 | Melissa Schnepp | Specialist/Technologist | 201 Pennsylvania Pkwy, Indianapolis, IN 46280-2301 | 2015-11-01 |
| 1043601263 | Robert Klingshirn | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2015-02-10 |
| 1740678838 | Jeremy Herrmann | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2014-12-26 |
| 1417359845 | April L Priest | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2014-09-17 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| 1194138677 | Emilia M Kareem | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 | 2014-06-03 |
| 1356768402 | Sara Simmons | Specialist/Technologist | 201 Pennsylvania Pkwy, #100, Indianapolis, IN 46280-2301 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
| 1295154110 | Sydney Harman | Anesthesiology | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2014-04-08 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213109 | Steven K Ahlfeld Md, PC | Orthopaedic Surgery | 9302 N Meridian St Ste 110, Indianapolis, IN 46260-1818 | 2008-04-23 |
| 1740313071 | Atlas Orthopedics & Sports Medicine Inc PC | Orthopaedic Surgery | 3660 Guion Rd Ste 230, Indianapolis, IN 46222-1691 | 2007-03-14 |
| 1366489338 | Dale S Snead | Orthopaedic Surgery | 201 Pennsylvania Parkway Suite 200, Indianapolis, IN 46280-2301 | 2006-05-31 |
| 1639782907 | Jenna Renee Sparks | Orthopaedic Surgery | 1801 N Senate Blvd Ste 400, Indianapolis, IN 46202-1245 | 2020-08-26 |
| 1770926453 | Todd E. Midla, D.o.,p.c. | Orthopaedic Surgery | 3660 Guion Rd, Suite 230, Indianapolis, IN 46222-1697 | 2013-04-11 |
| 1396903241 | Andrea Nicole Banet | Orthopaedic Surgery | 550 University Blvd, Suite 1295, Indianapolis, IN 46202-5149 | 2008-05-28 |
| 1235150210 | Center for Orthopaedic Surgery & Sports Medicine, PC | Orthopaedic Surgery | 8141 S Emerson Ave, Suite A, Indianapolis, IN 46237-8560 | 2006-07-22 |
| 1588606974 | George Peter Maiers II | Orthopaedic Surgery | 201 Pennsylvania Pkwy, Suite 200, Indianapolis, IN 46280-2301 | 2006-06-12 |
| 1740227750 | Charles D Vanmeter | Orthopaedic Surgery | 201 Pennsylvania Pkwy, #200, Indianapolis, IN 46280-2301 | 2006-05-31 |
| 1194771501 | David A Porter | Orthopaedic Surgery | 201 Pennsylvania Parkway, Suite 200, Indianapolis, IN 46280-2301 | 2006-05-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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| 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.