Trent Joseph Carroll, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35055123 Issued in OH

Practice address

2254 Olympic St
Springfield, OH 45503-2737

Phone

(937) 399-8287

NPI assigned

Jul 12, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1417955626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-399-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-399-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TRENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35055123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0668175",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Carpenter Jr.
• Shawn M Carpenter Sr.
• Anna Carrera, C.2607765
• Janna Elaine Carrier, LPC
• Margaret Carroll, CRNA
• Nancy B Carrothers, LD/RD
• Isaiah Carson, CMS QMHS
• Mecca S. Carter-Marshall
• Andrea M Carter, LDCDII
• Chae Carter

• Ophthalmology Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.