Individual provider Active NPI

Carol R Harrold, MD

  • Internal Medicine Physician
  • Montrose, CO
National Provider Identifier
1912959420
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR0056972 Issued in CO
Practice address
2377 Robins Way
Montrose, CO 81401-5901
Phone
(970) 252-0522
Fax
(970) 252-0166
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432479 PA
Internal Medicine Physician 207R00000X DR0056972 CO Primary

Addresses

Primary practice location

2377 Robins Way
Montrose, CO 81401-5901

Mailing address

1227 Peppertree Dr
Montrose, CO 81401-5658
Phone (412) 616-8878

Other identifiers 2

IdentifierTypeStateIssuer
29817528MedicaidCO
102073401MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0056972COMDInternal Medicine Physician
MD432479PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Voans Senior Community Care of Colorado, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1912959420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 PEPPERTREE DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015658",
            "telephone_number": "412-616-8878",
            "fax_number": "412-616-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 ROBINS WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015901",
            "telephone_number": "970-252-0522",
            "fax_number": "970-252-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROLD",
        "first_name": "CAROL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432479",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR0056972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29817528",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102073401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.