Ocarroll& Associates LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-003265 Issued in IL

Legal business name

OCARROLL& ASSOCIATES LLC

Practice address

22W654 Butterfield Rd
Glen Ellyn, IL 60137-6957

Phone

(630) 790-4442

Fax

(630) 790-9472

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel T O'Carroll, D.P.M., D.A.B.P.S.NPI 1437142858

Title

Owner

Phone

(630) 790-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Thomas O Carroll, DPM, DABPS

  • Sports Medicine Podiatrist
  • Glen Ellyn, IL
  • NPI 1437142858
  Medicare reassignment NPD Authorized official
• Brian David O'Carroll, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pismo Beach, CA
  • NPI 1336133768
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1174741722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4497",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601894497",
            "telephone_number": "630-790-4442",
            "fax_number": "630-790-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22W654 BUTTERFIELD RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376957",
            "telephone_number": "630-790-4442",
            "fax_number": "630-790-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCARROLL& ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "O'CARROLL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-790-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M., D.A.B.P.S."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Thomas O Carroll, DPM, DABPS
• Margaret O'Connor
• Patricia M O'Donnell, DPM
• Oak and Elm Collective Therapy PLLC
• Abigail Rose Oberhofer
• Office Orthopedics & Pain Management Inc.
• Olivet Healthcare, Inc
• Carol Olmstead Miecznikowski, MD
• Alea Kay Olson, R.D.N.
• Oneopto Il 1 PLLC

• Foot & Ankle Surgery Podiatrist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.