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MS. MARY L CAROLLO P A C
NPI 1508914904
Physician Assistant - Surgical in Colorado Springs, CO

Active since January 08, 2007
175 S UNION BLVD, STE 345, COLORADO SPRINGS, CO 80910(719) 471-7158(719) 471-7159 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary L Carollo P A C NPPES

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

MS. MARY L CAROLLO P A C (NPI 1508914904) is an individual surgical provider in Colorado Springs, Colorado, licensed in Colorado (498) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1508914904
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MARY L CAROLLOCredential: P A C
Location Address175 S UNION BLVD, STE 345Colorado Springs, CO 80910
Mailing Address5955 Wilson RoadColorado Springs, CO 80919-3553 · (719) 548-9182 · Fax (719) 593-1512
Phone(719) 471-7158
Fax(719) 471-7159
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508914904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · 498
175 S UNION BLVD, Colorado Springs, CO 80910
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Other Providers at the Same Location NPPES 20

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

CHILDREN'S HOSPITAL COLORADO
Clinic/Center (Rehabilitation)
175 S UNION BLVD, 255
COLORADO SPRINGS, CO 80910
El Paso County (719) 305-8109
CALEB SETH SMITH PA
Physician Assistant
175 S UNION BLVD
COLORADO SPRINGS, CO 80910
El Paso County (337) 550-9939
DR. ROBERT HOOD REEVES M.D.
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
MICHELLE A RIDNOUR MD
Obstetrics & Gynecology
175 S UNION BLVD, STE 220
COLORADO SPRINGS, CO 80910
El Paso County (719) 634-1532
DR. BURT N FOWLER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
175 S UNION BLVD, #115
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-5445
REBECCA KERBER RD
Dietitian, Registered
175 S UNION BLVD
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-6881
SHARON RUETER
Speech-Language Pathologist
175 S UNION BLVD, SUITE 255
COLORADO SPRINGS, CO 80910
El Paso County (719) 305-8000
AUTUMN TENNILLE HAYES-DIGES MSLP, CCC-SLP, ATP
Speech-Language Pathologist
175 S UNION BLVD, SUITE 255
COLORADO SPRINGS, CO 80910
El Paso County (719) 305-8000

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 Mary Carollo's NPI number?

The NPI number for Mary Carollo is 1508914904. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mary Carollo located?

Mary Carollo practices at 175 S Union Blvd Ste 345, Colorado Springs, CO 80910. The listed phone number is (719) 471-7158.

What is Mary Carollo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mary Carollo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.