Robert L Carrell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD018049E Issued in PA

Practice address

111 Sheridan St
Pittsburgh, PA 15209-2639

Phone

(412) 821-2277

Fax

(412) 821-1453

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Upmc St. Margaret

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1750445607
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1245286160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WATERCREST WAY",
            "address_2": "SUITE 630",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241370",
            "telephone_number": "724-274-9451",
            "fax_number": "724-274-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHERIDAN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152092639",
            "telephone_number": "412-821-2277",
            "fax_number": "412-821-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRELL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD018049E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006172610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "179697",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Carr
• Ann Carracher, MD
• Mary Carrasco, MD
• Janet Carrau, RPH
• Megan Carraway
• Kami Carrera, PA-C
• Sheyla Carrera
• Raissa Carrero
• Rachel Carretta
• Patrick Carrigan, D.M.D.

• Family Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.