Mary Elizabet Carroll, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0028177 Issued in MD

Practice address

9110 Philadelphia Rd.
Ste. 108
Rosedale, MD 21237-4301

Phone

(410) 574-3655

NPI assigned

Feb 15, 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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Maryland Family Care, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1598718256
  Medicare reassignment
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Mary E Carroll MD & Associates PA

  • Internal Medicine Physician
  • Rosedale, MD
  • NPI 1811143464
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1730153636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 CONIFER CT.",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579124",
            "telephone_number": "410-882-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD.",
            "address_2": "STE. 108",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374301",
            "telephone_number": "410-574-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARY",
        "middle_name": "ELIZABET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0028177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367471100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carebridge Primary and Urgent Care LLC
• Joanne Stacey A Carillo
• Caring Home Care LLC
• Megan Elizabeth Carmon, LMT
• Angel Carnecchia
• Filissa M Caserta, C.R.N.P.
• Kayla Catts
• Lauren Cavanaugh, PT, DPT
• CCJ Online Holdings, LLC
• Stella Cea, LGPC

• Internal Medicine Physician in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.