Philip Carroll, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11813 Issued in NH

Practice address

31 Taggard Rd
Walpole, NH 03608-5039

Phone

(603) 756-3587

NPI assigned

Oct 31, 2012

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Oct 31, 2012.

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1750635652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TAGGARD RD",
            "city": "WALPOLE",
            "state": "NH",
            "postal_code": "036085039",
            "telephone_number": "603-756-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TAGGARD RD",
            "city": "WALPOLE",
            "state": "NH",
            "postal_code": "036085039",
            "telephone_number": "603-756-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Blanc
• Peter Luke Bowman, DDS
• Robert Bruce Cochran, MD
• Michelle Cutler, APRN
• Michael F. Daley, ARNP
• Emily Jeanne Samuel
• Sara Flynn

• All providers in Walpole, NH
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.