Carroll Medical Group, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CARROLL MEDICAL GROUP, LLC

Practice address

29520 Shelbourne Rd
Perrysburg, OH 43551-3451

Phone

(866) 203-0308

NPI assigned

Dec 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Carroll

Title

Director

Phone

(866) 203-0308

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1649817347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29520 SHELBOURNE RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29520 SHELBOURNE RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513451",
            "telephone_number": "866-203-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-203-0308"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Lynn Cantor, MD
• Caring Hearts LLC
• Kezia Carpenter
• Catherine G Carrigan, MD
• Alecia Carrocci, MA, CCC-SLP
• Nancy Belle Carroll, M.D.
• Chelsea Rae Carson
• Cynthia D Cartwright, CNP
• Constance P Cashen, DO
• Alexis Marie Casillas, MD

• Psychiatry Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.