Organization Active NPI

Clifford Carrol MD a Professional Corporation

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1821264052
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8160 Issued in NV
Legal business name
CLIFFORD CARROL MD A PROFESSIONAL CORPORATION
Practice address
10313 Orkiney Dr
Las Vegas, NV 89144-4316
Phone
(702) 838-0604
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Clifford Carrol, MD
Title
Member Owner
Phone
(702) 838-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 8160 NV Primary

Addresses

Primary practice location

10313 Orkiney Dr
Las Vegas, NV 89144-4316

Mailing address

10313 Orkiney Dr
Las Vegas, NV 89144-4316
Phone (702) 838-0604

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1821264052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 ORKINEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444316",
            "telephone_number": "702-838-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 ORKINEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444316",
            "telephone_number": "702-838-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD CARROL MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "CARROL",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "702-838-0604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "8160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.