Linda R. Carroll, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

23342 Issued in OR

Practice address

929 SW Simpson Ave
Bend, OR 97702-3118

Phone

(541) 389-7741

Fax

(154) 127-8837

NPI assigned

Jan 23, 2006

Sex

Female

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

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.

• M Joshua Haber MD LLC

  • Sports Medicine (Family Medicine) Physician
  • Bend, OR
  • NPI 1922143767
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1598735508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023118",
            "telephone_number": "541-389-7741",
            "fax_number": "154-127-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023118",
            "telephone_number": "541-389-7741",
            "fax_number": "154-127-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LINDA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "23342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226932",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike Carpenter
• Ronald D Carpenter, PT
• Alison Brandi Carrillo, MSW
• Annaluisa Carrillo
• Amber Dawn Carroll, MT
• Lori Ann Carroll, D.C.
• Mary Fiona Carroll, M.D.
• Molly Carroll, MA
• Grant Jason Carson, PT
• Brittany Carter, LPC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bend, OR
• Providers in Bend, OR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.