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DR. CRAIG GRASON CARROLL D.O NPI 1861479628


NPI Information

NPI: 1861479628
Provider Name: DR. CRAIG GRASON CARROLL, D.O
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

PECOS Registration: Yes

Address:
1511 ONYX CIR
LONGMONT, CO
ZIP 80504
Phone: (303) 776-5298
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DR. Craig Grason Carroll, D.O is a clinical neurophysiology psychiatry neurology in Longmont, CO with 22 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Craig Grason Carroll, D.O NPI is 1861479628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2002

The provider's business location address is:

1511 ONYX CIR
LONGMONT, CO
ZIP 80504-805
Phone: (303) 776-5298
Fax: (303) 682-2785

The NPI 1861479628 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 enumeration date for this NPI number is 12/22/2005 and was last updated on 1/8/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204R00000XElectrodiagnostic Medicine0055838COLORADONo
22084N0400XPsychiatry & NeurologyNeurologyDR.55838COLORADONo
32084N0600XPsychiatry & NeurologyClinical NeurophysiologyOS13733FLORIDAYes
42084N0400XPsychiatry & NeurologyNeurologyH0061118MARYLANDNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10055838OTHERCOLORADOLICENSE

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

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.