NPIMap

Organization Active NPI

Mary E Carroll MD & Associates PA

  • Internal Medicine Physician
  • Rosedale, MD
National Provider Identifier
1811143464
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARY E CARROLL MD & ASSOCIATES PA
Practice address
9110 Philadelphia Rd
Ste 108
Rosedale, MD 21237-4301
Phone
(410) 574-8440
Fax
(410) 574-8072
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Eva A. Adams
Title
Administrator
Phone
(410) 574-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9110 Philadelphia Rd
Ste 108
Rosedale, MD 21237-4301

Mailing address

9110 Philadelphia Rd
Ste 108
Rosedale, MD 21237-4301
Phone (410) 574-8440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1811143464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD",
            "address_2": "STE 108",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374301",
            "telephone_number": "410-574-8440",
            "fax_number": "410-574-8072"
        },
        {
            "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": "410-574-8440",
            "fax_number": "410-574-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E CARROLL MD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-574-3655"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.