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Contact Information

CHARLES L CARROLL, DO
4778 S SCATTERFIELD RD
ANDERSON, IN46013-2908
 Phone: 765-646-6331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Independent Medical Examiner

202C00000X
Indicates primary specialty

NPI Profile & details for CHARLES L CARROLL · (Male)

NPI Number 1114927373
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/28/2005
Last updated 04/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001626A
  • IN Medicaid 200031800
  • OH Medicaid 2000382
  • IN Other 000000198187 BC/BS #
  • IN Other 080174096 RAILROAD
Hospital affiliation(s)
  • COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY - (Acute Care)
    1515 N MADISON AVE
    ANDERSON, IN 46011
  • INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL - (Critical Access)
    410 PILGRIM BLVD
    HARTFORD CITY, IN 47348
  • SAINT JOHN'S HEALTH SYSTEM - (Acute Care)
    2015 JACKSON ST
    ANDERSON, IN 46016
  • ST VINCENT RANDOLPH HOSPITAL INC - (Critical Access)
    473 E GREENVILLE AVE
    WINCHESTER, IN 47394
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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