George Carroll MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME48111 Issued in FL

Legal business name

GEORGE CARROLL MD PA

Practice address

100 East Sybelia Ave
Suite 140
Maitland, FL 32751-4750

Phone

(407) 894-9959

NPI assigned

Mar 9, 2007

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George William Carroll, MDNPI 1073644985

Title

President

Phone

(407) 894-9959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George William Carroll, MD

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1073644985
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1740312636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST SYBELIA AVENUE",
            "address_2": "SUITE 140",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514750",
            "telephone_number": "407-894-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST SYBELIA AVE",
            "address_2": "SUITE 140",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514750",
            "telephone_number": "407-894-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE CARROLL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-894-9959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gaul
• Beijing Rhonda Geib
• Charles Geller, LCSW, DCSW
• Cynthia Anne Marie Geltz, LMHC
• Genoa Healthcare LLC
• Alexandra Marie Gerace, MD
• Alfred Joseph Gerogiannis I, M.A.
• Juliette Selma Gervais, MD
• Jay D. Gewolb, MD
• Rhonnie Geyrozaga, CRNA

• Internal Medicine Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.