Carol L Carraccio, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D32309 Issued in MD

Practice address

105 Penn St
Baltimore, MD 21201-1020

Phone

(410) 706-5181

Fax

(410) 706-5103

NPI assigned

Jun 14, 2006

Last updated

Nov 28, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1750324620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62063",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642063",
            "telephone_number": "410-706-5181",
            "fax_number": "410-706-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PENN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011020",
            "telephone_number": "410-706-5181",
            "fax_number": "410-706-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRACCIO",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D32309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshon Carr
• Neil David Carr, M.D.
• Rachel Carr, M.D.
• Renee Carr, PSY.D., LCPC
• Shamus Russell Carr, M.D.
• Marielie Carrasquillo, PHARMACIST
• Carrcares Therapeutic Services
• Abbey Carreau, M.S, BCBA
• Meagan Carreira
• Bianca Carreiro

• Pediatrics Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.