John C Carrozzella II, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

ME58908 Issued in FL

Practice address

7575 Dr Phillips Blvd
Suite 370
Orlando, FL 32819-7216

Phone

(407) 507-3837

Fax

(407) 507-3841

NPI assigned

Dec 1, 2006

Last updated

Sep 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JCMD Medical Services, Inc

  • Public Health & General Preventive Medicine Physician
  • Orlando, FL
  • NPI 1487088282
  NPD Authorized official
• Wellquest Health Inc.

  • Pain Medicine Physician
  • Kissimmee, FL
  • NPI 1043518772
  Authorized official Same address or phone
• Sandhill Bone & Joint Inc

  • Orthopaedic Surgery Physician
  • Plant City, FL
  • NPI 1437185444
  NPD
• West Florida Medical Center Clinic PA

  dba Medical Center Clinic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1912075755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD",
            "address_2": "SUITE 370",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197216",
            "telephone_number": "407-507-3837",
            "fax_number": "407-507-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD",
            "address_2": "SUITE 370",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197216",
            "telephone_number": "407-507-3837",
            "fax_number": "407-507-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROZZELLA",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME58908",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME58908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064698901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy H Carroll, PA
• Rodney E Carroll Sr.
• Samantha McNamee Carroll, M.D.
• Sonja Denise Carroll, FNP-BC
• Kimberly Carromero, PHARMD
• Robbie Bryant Carruthers
• Andrea Carson
• Bonnie Neal Carson, MD
• Cecyle Kay Carson, PH.D.
• Elizabeth Camille Carson, CNM

• Public Health & General Preventive Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.