NPIMap

Organization Active NPI

Carroll Health Group, LLC

  • Family Medicine Physician
  • Manchester, MD
National Provider Identifier
1306252341
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARROLL HEALTH GROUP, LLC
Practice address
4175 Hanover Pike
Suite a
Manchester, MD 21102-1454
Phone
(410) 239-2662
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Kevin Kelbly
Title
Cfo
Phone
(410) 871-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4175 Hanover Pike
Suite a
Manchester, MD 21102-1454

Mailing address

193 Stoner Ave
Suite 110
Westminster, MD 21157-5587

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

4175 Hanover Pike
Ste A
Manchester, MD 21102
Phone (410) 239-2662

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1306252341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 110",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 HANOVER PIKE",
            "address_2": "SUITE A",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021454",
            "telephone_number": "410-239-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "KELBLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-871-6861"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.