NPIMap

Organization Active NPI

Carroll Health Group LLC

  • Colon & Rectal Surgery Physician
  • Westminster, MD
National Provider Identifier
1235294489
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
CARROLL HEALTH GROUP LLC
Practice address
295 Stoner Ave
Westminster, MD 21157-5698
Phone
(410) 848-1818
Fax
(410) 876-3156
NPI assigned
Dec 27, 2006
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
David Blumberg, MDNPI 1295890440
Title
Employee
Phone
(410) 848-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

295 Stoner Ave
Westminster, MD 21157-5698

Mailing address

PO Box 900
Westminster, MD 21158-0900
Phone (410) 848-1818

Other identifiers 3

IdentifierTypeStateIssuer
1286701OtherAETNA
1544512OtherGATEWAY HEALTH PLAN
357439OtherHEALTH AMERICA

National Provider Directory

National Provider Directory
Tax ID family
Carroll Health Group LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

1 Penn Ctr W
Ste 307
Pittsburgh, PA 15276

500 S Aiken Ave
Ste 107110A
Pittsburgh, PA 15232
Phone (412) 682-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1235294489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211580900",
            "telephone_number": "410-848-1818",
            "fax_number": "410-876-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575698",
            "telephone_number": "410-848-1818",
            "fax_number": "410-876-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BLUMBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "410-848-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1286701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1544512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "357439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.