Rebecca May Carroll, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD153931 Issued in OR

Practice address

940 Country Club Rd
Department of Anesthesia
Eugene, OR 97401-2208

Phone

(541) 344-2600

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Anesthesia Physicians PC

  • Anesthesiology Physician
  • Springfield, OR
  • NPI 1770531196
  Medicare reassignment
• Rebecca Carroll, MD

  • Ambulatory Surgical Clinic/Center
  • Eugene, OR
  • NPI 1063814135
  NPD (past) Authorized official

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1487948238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42060",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974040570",
            "telephone_number": "541-603-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 COUNTRY CLUB RD",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012208",
            "telephone_number": "541-344-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "REBECCA",
        "middle_name": "MAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD153931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487948238",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Louis Carrizales, PSY.D.
• Barbara Carroll, CRNA
• Christina Elyce Carroll
• Kyra D. Carroll, CCC-SLP
• Mary Joanne Carroll
• Carrie Ann Carso
• Megan Rachelle Carson
• Raaata Carter Johnson
• Julie Ann Carter
• Paxton Leigh Carter, FNP

• Anesthesiology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.