John Shalley Carroll
DPM | Podiatrist | 45+ years Exp
Medicare Enrolled
609 Ford St, Maumee
Ohio, 43537-1947
419-893-5539 419-893-6853
Maps & DirectionsJohn Shalley Carroll is a Maumee, Ohio based podiatrist with 45 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of John Shalley Carroll for Podiatry is 36 001951 in Ohio.
John Shalley Carroll is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
John Shalley Carroll speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 45+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 1980 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 609 Ford St, Maumee,
Ohio, 43537-1947 |
| Phone: | 419-893-5539 |
| Fax: | 419-893-6853 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9335115716 |
| Enrollment ID: | I20040915001256 |
| NPI Number: | 1417956483 |
| NPI Enumeration Date: | 20 Jul, 2005 |
| NPI Last Update On: | 12 Feb, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Shalley Carroll are as mentioned below.
| License Number | Specialization | State | Status | |
| 36 001951 | Podiatry | Ohio | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which John Shalley Carroll is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Podiatric Associates Of Northwest Ohio, Inc. (5496720906) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with John Shalley Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00059 | Other | Ohio | PARAMOUNT |
| 000000135410 | Other | | ANTHEM |
| 0447047 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 609 Ford St,
Maumee, Ohio |
| Zip: | 43537-1947 |
| Phone Number: | 419-893-5539 |
| Fax Number: | 419-893-6853 |
Patients can reach John Shalley Carroll at
609 Ford St, Maumee, Ohio or can
call to book an appointment on 419-893-5539.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.