Organization Active NPI

Michael Carroll MD PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1275679987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F3813 Issued in TX
Legal business name
MICHAEL CARROLL MD PA
Practice address
9208 Elam Rd
Ste 220
Dallas, TX 75217
Phone
(214) 398-3251
Fax
(214) 398-7251
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Lindsey Carroll, MDNPI 1487655932
Title
Owner President
Phone
(214) 398-3251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X F3813 TX Primary

Addresses

Primary practice location

9208 Elam Rd
Ste 220
Dallas, TX 75217

Mailing address

9208 Elam Rd
Ste 220
Dallas, TX 75217
Phone (214) 398-3251

National Provider Directory

National Provider Directory

Locations

9208 Elam Rd
Ste 220
Dallas, TX 75217
Phone (214) 398-3251

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275679987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 ELAM RD",
            "address_2": "STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75217",
            "telephone_number": "214-398-3251",
            "fax_number": "214-398-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 ELAM RD",
            "address_2": "STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75217",
            "telephone_number": "214-398-3251",
            "fax_number": "214-398-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CARROLL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "214-398-3251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.