CLARK L CARROL


Address: Box 1020665, Sioux Falls, SD 57186-0001
Phone: 4156323166

CLARK L CARROL (NPI# 1629267224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629267224
Entity Type Individual
Full Name CLARK L CARROL
Credential M.D.
Practice Address Box 1020665
Sioux Falls
SD 57186-0001
Practice Telephone 4156323166
Enumeration Date 2007-10-18
Last Update Date 2009-06-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
C40567 CA Allopathic & Osteopathic Physicians

Office Location

Street Address BOX 1020665
City SIOUX FALLS
State SD
Zip Code 57186-0001

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1962019976 Breakthrough Counseling, LLC Counselor 1701 E 69th St Ste A, Sioux Falls, SD 57108-8317 2020-09-24
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720421381 Jamie Catherine Williams Radiology 1309 W 17th St Ste G01, Sioux Falls, SD 57104-4663 2013-04-14
1841430162 Martin Frank Petereit Radiology 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 2009-02-26
1194865394 Midwest Regional Imaging Services LLC Radiology 6001 S Sharon, Suite 2, Sioux Falls, SD 57108 2007-02-07
1245250356 Christopher K Johansen Radiology 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 2006-07-20
1831143015 Sioux Falls Open Mri, LLC Radiology 6001 S Sharon Ave, Suite 1, Sioux Falls, SD 57108-5746 2006-05-20
1821050212 Christopher Gregory Radiology 1325 S. Cliff Ave, Sioux Falls, SD 57105-3762 2006-04-03
1013334911 Megan E Albertson Radiology 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 2014-03-28
1013356781 Andrew Jay Erie Radiology 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 2013-06-17
1609213453 Kevin K Casper Radiology 1325 S Cliff Ave, Sioux Falls, SD 57105 2013-06-03
1558627760 Anders Steven Grinde Radiology 1325 S Cliff Ave, Sioux Falls, SD 57105 2012-04-02
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Competitor

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City SIOUX FALLS
Zip Code 57186

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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