Ronald F. Carroll

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002829L Issued in PA

Legal business name

RONALD F. CARROLL

Practice address

2780 W Country Club Rd
Philadelphia, PA 19131-2813

Phone

(215) 879-0277

Fax

(215) 879-8151

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald F. Carroll, D.P.M.

Title

Owner

Phone

(215) 879-0277

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1174733026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 W COUNTRY CLUB RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312813",
            "telephone_number": "215-879-0277",
            "fax_number": "215-879-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 W COUNTRY CLUB RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312813",
            "telephone_number": "215-879-0277",
            "fax_number": "215-879-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD F. CARROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-879-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002829L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2412760000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Romo, M.D.
• Raymond Romsdahl
• Ron Home Health Care Incorporation
• Ronald a Codario, M.D.P.C.
• Ronald F Asper
• Ronald I Cantor & Willaim Biermann MD PC
• Ronald S. Kaiser, PH.D., Abpp& Associates
• Ronald W Kimball M D P C
• Jeanine Ronan, MD
• Isabel Theresa Roncace, CRNP

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.