Nick Carroll, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4745 Issued in OK

Practice address

2448 E 81St St Ste 400
Tulsa, OK 74137-4294

Phone

(918) 710-4222

Fax

(539) 867-3947

NPI assigned

Jul 2, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulsa Emergency Medical Center IncGroup PAC ID 3375442692, 23 clinicians

Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nick.carrolldo.p10@direct.nextcare.nextgenshare.com
• Direct secure messaging: nick.carroll.1@20767.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
• Direct secure messaging: nick.carrolldo.p8@direct.nextcare.nextgenshare.com
• Direct secure messaging: nick.carroll.1@22121.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hillcrest Urgent Care, LLC

  dba Utica Park Urgent Care

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1417769829
  Medicare reassignment Care Compare group NPD
• Tulsa Emergency Medical Center Inc

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment Care Compare group NPD
• Medical Resource Management, LLC

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365

  Family Medicine

  Medicare reassignment NPD
• Ahs Oklahoma Physician Group LLC

  dba Utica Park Clinic

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775
  NPD (past)
• Mayes County Hma, LLC

  dba AllianceHealth Pryor

  • General Acute Care Hospital
  • Pryor, OK
  • NPI 1588686679
  NPD (past)
• National Family Medical Associates, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720

  Family Medicine

  NPD (past)
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1104055730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 E. 31ST COURT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451334",
            "telephone_number": "918-743-8200",
            "fax_number": "918-743-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374294",
            "telephone_number": "918-710-4222",
            "fax_number": "539-867-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10221 E 81st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741334559",
            "country_code": "US",
            "telephone_number": "918-419-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "NICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian L Carroll, MD
• Jeffrey Colin Carroll, M.D.
• Laura Carroll, ST
• Macy Ann Carroll, OTD, OTR
• Mary Ann Warner Carroll, PA-C
• Rachel Christine Carroll, DPT
• Deena R Carruthers, LPN
• Jennifer Marie Carsey, MSW
• Daniel Reid Carson
• Gina Carson, PHARMD.

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.