Active NPI
Robert L Carolla, M.D.
- Hematology & Oncology Physician
- Springfield, MO
National Provider Identifier
1225006828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- R4802
- Practice address
- 3850 S National Ave
Suite 600
Springfield, MO 65807-5287 - Phone
- (417) 882-4880
- Fax
- (417) 882-7843
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | R4802 | MO | Primary |
Addresses
Primary practice location
3850 S National Ave
Suite 600
Springfield, MO 65807-5287
Mailing address
3850 S National Ave
Suite 600
Springfield, MO 65807-5287
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17951 | Other | MO | ANTHEM BCBS |
| 0628420001 | Other | MO | DMERC |
| 3640001 | Other | MO | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology-Hematology Associates of Springfield, MD,PC | Hematology & Oncology | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Springfield, MO
- NPI 1629088570
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1225006828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE",
"address_2": "SUITE 600",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE",
"address_2": "SUITE 600",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075287",
"telephone_number": "417-882-4880",
"fax_number": "417-882-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLLA",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "R4802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "17951",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0628420001",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3640001",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.