James Carroll, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Wallingford, CT
NPI 1487639738 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1487639738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 034358 (CT)
- Practice address
- 97 Barnes Rd
Wallingford, CT 06492-1885 - Phone
- (203) 949-2700
- Fax
- (203) 949-2712
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034358 | CT | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 034358 | CT | Yes |
Addresses
Primary practice location
97 Barnes Rd
Wallingford, CT 06492-1885
Mailing address
101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 949-2700
Other providers in Wallingford, CT
- Kylie Carino
- Tara Nicole Carlesco
- Tyler Carmen
- Rebecca J Carr
- Kristin Carretta
- Roberta Cascone
- Mary E. Cash
- Elena Cela
- Harry Anthony Celentano
- Center for Pediatric Therapy-Wallingford, LLC
All providers in Wallingford, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.