Charles Carroll (NPI# 1962445890, PAC ID# 0840379103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962445890 |
| PAC ID by PECOS | 0840379103 |
| Professional Enrollment ID | I20101222000195 |
| Full Name | Charles Carroll |
| Organization Legal Name | MERCY SERVICES IOWA CITY, INC. |
| Address |
402 S Walnut St Mercy Family Medicine of North Engl North English IA 52316-9559 |
| Phone Number | 3196643211 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860395688 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160029 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 402 S Walnut St, Mercy Family Medicine of North Engl, North English, IA 52316-9559 | 3196643211 | MERCY SERVICES IOWA CITY, INC. |
| Organization Legal Name | MERCY SERVICES IOWA CITY, INC. |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Kristine Woepking | Nurse Practitioner | Mercy Services Iowa City, Inc. | 109 E Walnut St, Mercy Family Medicine of Columbus J, Columbus Junction, IA 52738-1014 |
| Richard T Honderick | Family Medicine | Mercy Services Iowa City, Inc. | 206 Cookson Dr, West Branch, IA 52358-9632 |
| Lydia Mossman | Clinical Social Worker | Mercy Services Iowa City, Inc. | 2055 Oakdale Rd, Coralville, IA 52241-4704 |
| Kyle Preuninger | Nurse Practitioner | Mercy Services Iowa City, Inc. | 510 W Main Street A, Solon, IA 52333-9764 |
| David R Sheff | Family Medicine | Mercy Services Iowa City, Inc. | 1401 Crees St, West Liberty, IA 52776-1029 |
| Margaret T Ekroth | Urology | Mercy Services Iowa City, Inc. | 269 N 1st Ave, Mercy Family Medicine of Iowa City, Iowa City, IA 52245-3616 |
| Barbara Coffman | Nurse Practitioner | Mercy Services Iowa City, Inc. | 402 S Walnut St, Mercy Family Medicine of North Engl, North English, IA 52316-9559 |
| Mary Catherine Laughlin | Family Medicine | Mercy Services Iowa City, Inc. | 503 3rd St, Kalona, IA 52247-9526 |
| James Grant Mccoy | Urology | Mercy Services Iowa City, Inc. | 2943 Northgate Dr, Mercy Specialty Clinics Urology, Iowa City, IA 52245-9571 |
| Nathan R Schneider | General Surgery | Mercy Services Iowa City, Inc. | 540 E Jefferson St, 205 Mercy Specialty Clinics Gen Surg, Iowa City, IA 52245-2479 |
| Street Address |
402 S WALNUT ST MERCY FAMILY MEDICINE OF NORTH ENGL |
| City | NORTH ENGLISH |
| State | IA |
| Zip | 52316-9559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Coffman | Nurse Practitioner | Mercy Services Iowa City, Inc. | 402 S Walnut St, Mercy Family Medicine of North Engl, North English, IA 52316-9559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra M Gannon | Clinical Social Worker | 103 S Main St, Barbara G Brown Md PC Village Psychiatric Services, North English, IA 52316-9504 | |
| Barbara G Brown | Psychiatry | 103 S Main St, North English, IA 52316-9504 | |
| Laura J Dunlap | Psychologist, Clinical | Meditelecare of Iowa Pllc | 150 W Washington St, Meditelecare 16, North English, IA 52316-9514 |
| City | NORTH ENGLISH |
| Zip Code | 52316 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH ENGLISH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Carroll.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.