JEFFREY CARROLL MD
NPI 1255332144
Internal Medicine in Berlin,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 2, 2005

Contact Information

225 Memorial Dr Ste 1400
Berlin,
Post Code: 54923
Phone: (920) 361-5760
Fax: (920) 361-5766

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Jeffrey Carroll Md in Berlin - Internal Medicine

Jeffrey Carroll Md is a Internal Medicine in Berlin, . Jeffrey Carroll Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeffrey Carroll Md is 1255332144. The last update date is 2009-12-24.

Jeffrey Carroll Md's current location address is 225 Memorial Dr Ste 1400, Berlin, . You can contact this provider via phone number (920) 361-5760 and fax number (920) 361-5766. The mailing address for Jeffrey Carroll Md is 225 Memorial Dr Ste 1400, Berlin, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255332144
Provider Name
JEFFREY CARROLL MD
Gender
Male
Entity Type
Individual
Location Address
225 Memorial Dr Ste 1400, Berlin,
Location Phone
(920) 361-5760
Location Fax
(920) 361-5766
Mailing Address
225 Memorial Dr Ste 1400, Berlin, Wisconsin(WI)
Mailing Phone
920-361-5760
Mailing Fax
920-361-5766
Enumeration Date
2005-08-02
Last Update Date
2009-12-24
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
22313-020
License State
Wisconsin (WI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208600000X Surgery Physician

Surgery

22313-020 (Wisconsin)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30398700 MEDICAID (05) Wisconsin (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255332144
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210563418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2210563418
2 + 2 + 1 + 0 + 5 + 6 + 3 + 4 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1255332144 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255331831 SHAHIDA RAHMAN MUNIM
Individual
Internal Medicine, Sleep Medicine 7200 W GREENFIELD AVE
WEST ALLIS, Wisconsin (WI)
414-543-1441
1255329983 SARA E ADAMS
Individual
Physical Therapist 1760 SHAWANO AVE
GREEN BAY, Wisconsin (WI)
920-499-5191
1255329835 CAROLYN ANN LAABS
Individual
Nurse Practitioner, Family 1027 N 9TH ST
MILWAUKEE, Wisconsin (WI)
414-765-0606
1255328795 JOHANNA GROVER
Individual
Physical Therapist 116 N MAIN ST
SHAWANO, Wisconsin (WI)
715-526-7370
1255328498 JAMES PHILIP CONTERATO
Individual
Anesthesiology 3333 EVERGREEN DR NE
GRAND RAPIDS, Michigan (MI)
616-364-4200