DR. RICHARD PAUL CARROLL M.D. NPI 1407828007

NPI Information

NPI: 1407828007
Provider Name: DR. RICHARD PAUL CARROLL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4887 E LAKE HARRIET BLVD
MINNEAPOLIS, MN
ZIP 55419
Phone: (612) 325-0317
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DR. Richard Paul Carroll, M.D. is a specialist in Minneapolis, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Richard Paul Carroll, M.D. NPI is 1407828007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4887 E LAKE HARRIET BLVD
MINNEAPOLIS, MN
ZIP 55419-222
Phone: (612) 325-0317

The enumeration date for this NPI number is 2/7/2006 and was last updated on 4/27/2010.

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
1	174400000X	Specialist		21566	MINNESOTA	Yes

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
1	648872200	MEDICAID	MINNESOTA
2	CR4206	MEDICARE PIN	MINNESOTA
3	A94563	MEDICARE UPIN	MINNESOTA
4	31260500	OTHER	WISCONSIN	WISCONSIN MA PROVIDER NO.
5	180000103	MEDICARE PIN	MINNESOTA
6	240001360	MEDICARE PIN	GEORGIA
7	6D561CA	OTHER	MINNESOTA	BCBS PROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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