Ronald Eugene Carroll in Payette - Family Medicine

Ronald Eugene Carroll - NPI 1790821122

Ronald Eugene Carroll is a Family Medicine in Payette, Idaho. Ronald Eugene Carroll practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ronald Eugene Carroll is 1790821122. The last update date is 2022-06-14.

Ronald Eugene Carroll's current location address is 823 Center Ave, Payette, Idaho. You can contact this provider via phone number 2086423396 and fax number 2086429060. The mailing address for Ronald Eugene Carroll is 823 Center Ave, Payette, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Eugene Carroll
Address 823 Center Ave, Payette, Idaho
Phone Number 2086423396
Fax Number 2086429060
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790821122
Provider Enumeration Date 2007-01-30
Last Updated Date 2022-06-14

Provider Mailing Address Detail

Address 823 Center Ave
City Payette
State Idaho (ID)
Post Code 836612535
Phone Number 2086423396
Fax Number 2086429060

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No M-4116
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10005775 REGENCE BLUE SHIELD
R108734 MEDICARE-NORIDIAN
3636500 ID --
73437 BLUE CROSS
820525763 COMMERCIAL
231902 OR --
D80174720 MEDICARE- RAILROAD

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FAQs about Ronald Eugene Carroll

What is the unique 10-digit identifier code assigned to Ronald Eugene Carroll by the Centers for Medicare & Medicaid Services?

The Ronald Eugene Carroll has been issued the NPI (National Provider Identifier) 1790821122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Ronald Eugene Carroll?

The Ronald Eugene Carroll is physically situated at 823 Center Ave, in the city of Payette, state of ID, with the postal code 836612535.

What is Ronald Eugene Carroll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ronald Eugene Carroll's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When did the Ronald Eugene Carroll receive its 1790821122?

The Ronald Eugene Carroll was issued its 1790821122 on 2007-01-30, which is the date when the organization was assigned this unique identifier.

When was the information regarding Ronald Eugene Carroll, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ronald Eugene Carroll, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-14.

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