John Shalley Carroll is a Maumee, Ohio based male podiatrist with 44 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:
Podiatrist
Credentials:
DPM
Experience:
44+ 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.