Carroll Primary Care, Pa

LBN: Carroll Primary Care, Pa
Carroll Primary Care, Pa is an health care organization with primary practice located at 1380 Progress Way Suite 114, Eldersburg MD 21784-6464. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carroll Primary Care, Pa can be contacted via phone (410) 795-1888, or through Mcevoy, Michael Keith via phone (410) 798-1888.

Contact Information

Primary practice address
1380 Progress Way Suite 114 Eldersburg MD 21784-6464
Phone: (410) 795-1888
Fax: (410) 795-3538
Website:
Map and Directions
Authorized official contact:
Name: Mcevoy, Michael Keith Doctor of Medicine (MD)
Phone: (410) 798-1888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1427189174
LBN Legal business name Carroll Primary Care, Pa
DBA Doing business as
Authorized official Mcevoy, Michael Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated May 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427189174 NPPES
Maryland MEDICAID 208571200

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