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DR. RONALD EUGENE CARROLL M.D. NPI 1790821122


NPI Information

NPI: 1790821122
Provider Name: DR. RONALD EUGENE CARROLL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
823 CENTER AVE
PAYETTE, ID
ZIP 83661
Phone: (208) 642-3396
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DR. Ronald Eugene Carroll, M.D. is a family medicine in Payette, ID with 47 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Ronald Eugene Carroll, M.D. NPI is 1790821122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

823 CENTER AVE
PAYETTE, ID
ZIP 83661-535
Phone: (208) 642-3396
Fax: (208) 642-9060

The NPI 1790821122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80305)
  • Hemoglobin a1c level (HCPCS:83036)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 1/30/2007 and was last updated on 6/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM-4116IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
173437OTHERBLUE CROSS
2231902MEDICAIDOREGON
3D80174720OTHERMEDICARE- RAILROAD
4000010005775OTHERREGENCE BLUE SHIELD
5820525763OTHERCOMMERCIAL
6003636500MEDICAIDIDAHO
7R108734OTHERMEDICARE-NORIDIAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.