JOHN T. CARROLL, DPM PC
NPI 1114100989
Podiatrist - Foot Surgery in Old Saybrook, CT
- Organization
- Podiatrist
- Foot Surgery
About JOHN T. CARROLL, DPM PC
This page provides the complete NPI Profile along with additional information for John T. Carroll, Dpm Pc, a provider established in Old Saybrook, Connecticut operating as a Podiatrist, focusing in foot surgery . The healthcare provider is registered in the NPI registry with number 1114100989 assigned on December 2007. The practitioner's primary taxonomy code is 213ES0131X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. John T Carroll Dpm (President)
- NPI
- 1114100989 Verify this NPI
- Provider Name
- JOHN T. CARROLL, DPM PC
- Entity Type
- Organization
- Location Address
- 455 BOSTON POST RD, UNIT #8 OLD SAYBROOK, CT 06475
- Location Phone
- (860) 510-0502
- Location Fax
- (860) 510-0551
- Mailing Address
- 455 BOSTON POST RD, UNIT #8 OLD SAYBROOK, CT 06475
- Mailing Phone
- (860) 510-0502
- Mailing Fax
- (860) 510-0551
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2007
- Last Update Date
- 01-29-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot Surgery
- Taxonomy Code
- 213ES0131X
- Type
- Podiatric Medicine & Surgery Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008063266 | OTHER (01) | CT | MEDICAID DME/MEDICAL SUPPLY DEALER |
| 008059379 | MEDICAID (05) | CT | |
| D100032362 | MEDICARE PIN (08) | CT | |
| 4895660001 | MEDICARE NSC (07) | CT |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114100989, enumerated as an "organization" on December 14, 2007.
The provider is located at 455 BOSTON POST RD, UNIT #8 OLD SAYBROOK, CT 06475 and the phone number is (860) 510-0502.
Podiatrist with taxonomy code 213ES0131X and a focus in Foot Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
