William Michael Carroll, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04449 Issued in TX

Practice address

11888 Marsh LN
Dallas, TX 75234-8083

Phone

(972) 488-9222

Fax

(972) 488-0625

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

• Citimed, P.a.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1487823316
  NPD (past)
• Motley Emergency Physicians

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1972558401
  NPD (past)
• Primacare Medical Centers

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1104905728
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Mesquite, TX
  • NPI 1295780757
  NPD (past)
• Norton County Hospital

  • Rural Health Clinic/Center
  • Norton, KS
  • NPI 1134125073
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104928191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-572-1124",
            "fax_number": "214-572-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-488-9222",
            "fax_number": "972-488-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyuna S Carroll, L.M.T.
• Sandra Bright Carroll
• Shannon Mikeal Carroll, LCSW
• Taylor Carroll, PTA
• Timothy Field Carroll
• Christopher Joseph Carron
• Carrots and Rice LLC
• Melissa Carry, M.D.
• Mario F Carsello Jr., CRNA
• Bethany J Carson

• All providers in Dallas, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.