Active NPI
James Alfred Carroll, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Portsmouth, NH
National Provider Identifier
1508047010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA001112
- Practice address
- One Ayer'S Circle, BLDG H-1, Portsmouth Naval Shipyard
Naval Branch Health Clinic
Portsmouth, NH 03804-5000 - Phone
- (207) 438-2391
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA001112 | ME | Primary |
Addresses
Primary practice location
One Ayer'S Circle, BLDG H-1, Portsmouth Naval Shipyard
Naval Branch Health Clinic
Portsmouth, NH 03804-5000
Mailing address
1 Armory Rd
Waterville, ME 04901-5770
Phone (207) 430-5266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA001112 | ME | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1508047010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ARMORY RD",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015770",
"telephone_number": "207-430-5266",
"fax_number": "207-430-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE AYER'S CIRCLE, BLDG H-1, PORTSMOUTH NAVAL SHIPYARD",
"address_2": "NAVAL BRANCH HEALTH CLINIC",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038045000",
"telephone_number": "207-438-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "JAMES",
"middle_name": "ALFRED",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ME",
"license": "PA001112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.