IVAN DALE CARROLL MD
NPI 1467476788
Obstetrics & Gynecology in Spring Lake, MI

Q: What is Ivan Carroll's NPI number?

The NPI number for Ivan Carroll is 1467476788. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Ivan Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Carroll was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 27, 2006

17720 COBBLEFIELD LN, SPRING LAKE, MI 49456(616) 296-0622 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ivan Dale Carroll Md NPPES

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

IVAN DALE CARROLL MD (NPI 1467476788) is an individual obstetrics & gynecology provider in Spring Lake, Michigan, licensed in Michigan (4301036938) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467476788

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameIVAN DALE CARROLLCredential: MD

Location Address17720 COBBLEFIELD LNSpring Lake, MI 49456-9264

Mailing Address17720 Cobblefield LnSpring Lake, MI 49456-9264 · (616) 296-0622

Phone(616) 296-0622

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateJanuary 8, 2021

NPPES CertifiedJanuary 8, 2021

✔ NPI 1467476788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MI · 4301036938✔ Licensed in MI · 5315171197

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 4301036938 (MI)

17720 COBBLEFIELD LN, Spring Lake, MI 49456

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Other Identifiers 1

Medicaid4282462MI

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 Ivan Carroll's NPI number?

The NPI number for Ivan Carroll is 1467476788. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Ivan Carroll located?

Ivan Carroll practices at 17720 Cobblefield Ln, Spring Lake, MI 49456. The listed phone number is (616) 296-0622.

What is Ivan Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Ivan Carroll was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.