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JEFFREY CARROLL MD
NPI 1255332144
Internal Medicine in Berlin, WI

Active since August 02, 2005
225 MEMORIAL DR STE 1400, BERLIN, WI 54923(920) 361-5760(920) 361-5766 Get Directions Write a Review

NPPES record last updated: December 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Carroll Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY CARROLL MD (NPI 1255332144) is an individual internal medicine provider in Berlin, Wisconsin, licensed in Wisconsin (22313-020) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1255332144
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEFFREY CARROLLCredential: MD
Location Address225 MEMORIAL DR STE 1400Berlin, WI 54923-1243
Mailing Address225 Memorial Dr Ste 1400Berlin, WI 54923-1243 · (920) 361-5760 · Fax (920) 361-5766
Phone(920) 361-5760
Fax(920) 361-5766
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateDecember 24, 2009
✔ NPI 1255332144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 22313-020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSurgeryTaxonomy 208600000X · License 22313-020 (WI)
225 MEMORIAL DR STE 1400, Berlin, WI 54923
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Other Identifiers 3

Medicare PIN0600416WI
Medicare UPINB51971WI
Medicaid30398700WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY J. RACKI MD
Internal Medicine
225 MEMORIAL DR STE 1400
BERLIN, WI 54923
Green Lake County (920) 361-5760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Carroll's NPI number?

The NPI number for Jeffrey Carroll is 1255332144. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Jeffrey Carroll located?

Jeffrey Carroll practices at 225 Memorial Dr Ste 1400, Berlin, WI 54923. The listed phone number is (920) 361-5760.

What is Jeffrey Carroll's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Carroll was last updated on December 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.