Active NPI
Carroll Primary Care, PA
- Family Medicine Physician
- Eldersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CARROLL PRIMARY CARE, PA
- Practice address
- 1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464 - Phone
- (410) 795-1888
- Fax
- (410) 795-3538
- NPI assigned
- Mar 7, 2007
- Last updated
- May 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Keith McEvoy, M.D.
- Title
- V. President, Carroll Primary Care
- Phone
- (410) 798-1888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464
Mailing address
1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464
Phone (410) 795-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208571200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0896228 | Carroll Primary Care PA | Provider-performed microscopy | Jan 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1380 Progress Way
Ste 114
Sykesville, MD 21784
Phone (410) 795-1888
Practitioners & affiliated clinicians
Practitioners 14
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.
-
- Family Medicine Physician
- Eldersburg, MD
- NPI 1669558219
-
- Family Medicine Physician
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- NPI 1912586652
-
- Family Medicine Physician
- Eldersburg, MD
- NPI 1548998842
-
- Physician Assistant
- Baltimore, MD
- NPI 1598195604
-
- Physician Assistant
- Eldersburg, MD
- NPI 1922400720
-
- Medical Physician Assistant
- Westminster, MD
- NPI 1467124933
-
- Family Medicine Physician
- Columbia, MD
- NPI 1710169446
-
- Family Medicine Physician
- Westminster, MD
- NPI 1710063359
-
- Physician Assistant
- Baltimore, MD
- NPI 1497210736
-
- Physician Assistant
- Westminster, MD
- NPI 1932859907
-
- Medical Physician Assistant
- Westminster, MD
- NPI 1053770636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274054400000",
"number": "1427189174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 PROGRESS WAY",
"address_2": "SUITE 114",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846464",
"telephone_number": "410-795-1888",
"fax_number": "410-795-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 PROGRESS WAY",
"address_2": "SUITE 114",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846464",
"telephone_number": "410-795-1888",
"fax_number": "410-795-3538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLL PRIMARY CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2010-05-17",
"status": "A",
"authorized_official_last_name": "MCEVOY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "V. PRESIDENT, CARROLL PRIMARY CARE",
"authorized_official_telephone_number": "410-798-1888",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208571200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eldersburg, MD
- Carroll Counseling Center, LLC
- Carroll County Ambulatory Surgical Center, LLC
- Carroll Foot and Ankle Surgery Center
- Carroll Health Group, LLC
- Carroll Health Group, LLC
- Carroll Urgent Care, LLC (Carroll Hospital Center My Care Now)
- Carrolltowne Medical Center P.a.
- Lindsey Gill Carter, MS, RD
- Cedar Ridge Counseling Centers LLC
- Centers for Advanced Orthopaedics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.