Active NPI
Taylor Cassidy Carro I
- Phlebology Physician
- Summerville, SC
National Provider Identifier
1235932732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- E4D389
- Practice address
- 126 Archdale St
Summerville, SC 29486-0429 - Phone
- (631) 766-5271
- NPI assigned
- Mar 31, 2025
- Last updated
- Mar 31, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | E4D389 | NY | Primary |
Addresses
Primary practice location
126 Archdale St
Summerville, SC 29486-0429
Mailing address
126 Archdale St
Summerville, SC 29486-0429
Phone (631) 766-5271
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4D389 | NY | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1235932732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 ARCHDALE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294860429",
"telephone_number": "631-766-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 ARCHDALE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294860429",
"telephone_number": "631-766-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRO",
"first_name": "TAYLOR",
"middle_name": "CASSIDY",
"name_prefix": "Ms.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NY",
"license": "E4D389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.