Active NPI
Patricia B Carroll, M.D.
- General Practice Physician
- North Oxford, MA
National Provider Identifier
1649464744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 57707
- Practice address
- 30 Ennis Rd
North Oxford, MA 01537-0356 - Phone
- (508) 987-2056
- Fax
- (508) 987-2058
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 57707 | MA | Primary |
Addresses
Primary practice location
30 Ennis Rd
North Oxford, MA 01537-0356
Mailing address
PO Box 331005
Miami, FL 33233-1005
Phone (305) 854-6339
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57707 | MA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1649464744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 331005",
"city": "MIAMI",
"state": "FL",
"postal_code": "332331005",
"telephone_number": "305-854-6339",
"fax_number": "305-854-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ENNIS RD",
"city": "NORTH OXFORD",
"state": "MA",
"postal_code": "015370356",
"telephone_number": "508-987-2056",
"fax_number": "508-987-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "PATRICIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "57707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Oxford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.