Active NPI
Pauline Carroll, DO
- Anesthesiology Physician
- Redding, CA
National Provider Identifier
1659399046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A7137
- Practice address
- 2900 Eureka Way
Redding, CA 96001-0220 - Phone
- (800) 289-4774
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20A7137 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20A7137 | CA |
Addresses
Primary practice location
2900 Eureka Way
Redding, CA 96001-0220
Mailing address
PO Box 3317
Pinedale, CA 93650-3317
Phone (559) 436-0871
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2916 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Surgery Center LTD | Past | Accepting new patients | |
| Julie Sowerby, Inc., a Medical Corporation | Pain Medicine | Past | Accepting new patients |
| Marion Surgery Center LTD | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northern California Invasive Pain Management Medical Group
- Pain Medicine (Anesthesiology) Physician
- Redding, CA
- NPI 1851320782
-
- Certified Registered Nurse Anesthetist
- Marion, IL
- NPI 1306992375
-
- Ambulatory Surgical Clinic/Center
- Marion, IL
- NPI 1962468967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1659399046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3317",
"city": "PINEDALE",
"state": "CA",
"postal_code": "936503317",
"telephone_number": "559-436-0871",
"fax_number": "559-436-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "960010220",
"telephone_number": "800-289-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "PAULINE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A7137",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "20A7137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.