JOHN RAYMOND CARROLL M.D.
NPI 1639142953
Family Medicine in Milwaukee, WI

Q: What is John Carroll's NPI number?

The NPI number for John Carroll is 1639142953. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is John Carroll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Carroll was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 08, 2006

1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204(414) 672-1353(414) 672-4265 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Raymond Carroll M.d. NPPES

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

JOHN RAYMOND CARROLL M.D. (NPI 1639142953) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (31103) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1639142953

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN RAYMOND CARROLLCredential: M.D.

Location Address1032 S CESAR E CHAVEZ DRMilwaukee, WI 53204-2203

Mailing Address1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203 · (414) 672-1353 · Fax (414) 672-4265

Phone(414) 672-1353

Fax(414) 672-4265

Sole ProprietorNo

Enumeration DateFebruary 8, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1639142953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 31103

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1032 S CESAR E CHAVEZ DR, Milwaukee, WI 53204

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Other Identifiers 2

Other4567737WI · Aetna

Medicaid31609200WI

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.

EMILY GEBHARDT PA-C

Physician Assistant