John Carroll

MD | Pediatric Pulmonology | Male

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Complete Profile:

John Carroll basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	John Carroll
Credential :	MD
Gender :	Male

Business Address:

John Carroll address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 653 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1100
Fax Number :	501-364-4082

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1104916774
NPI Entity Type :	Individual
First Enrolment Date :	13 Oct, 2006
Last Updated On :	14 Nov, 2017

Medicare Participation:

John Carroll participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4183713407
Medicare Enrollment ID :	I20071208000218
Primary Specialty :	Pediatric Medicine
Medical School :	Southern Methodist University Medical Department
Graduation Year :	1979
Accepts Medicare?	Yes. John Carroll accepts medicare insurance.

Group Practice Association:

John Carroll is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which John Carroll is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	4301 W Markham St 783 Medical College Physicians Group Little Rock, AR - 722057101 Ph: 5016868000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Carroll are as mentioned. Primary taxonomy code for John Carroll, MD is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	E-2619	AR

Legacy Identifiers:

Other legacy medical identifiers of John Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
140723001	MEDICAID	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Way # 653 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1100
Fax Number :	501-364-4082

Business Location:

Patients can refer following map for directions to John Carroll practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.