AMANDA L. CARROLL D.O. – NPI #1396079208
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

AMANDA CARROLL is a physician located in FESTUS, MO. NPPES has assigned the NPI number 1396079208 to AMANDA CARROLL on September 24, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Oct 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA CARROLL below.

NPI Profile for
AMANDA L. CARROLL

NPI Number
1396079208
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA L. CARROLL
Credentials
D.O.
Primary location
1400 HIGHWAY 61 S.
SUITE 340
FESTUS, MO 63028
Phone: (636) 937-1545 Fax: (636) 937-8995
1 Other location(s):
3408 Office Park Dr
Marion, IL 62959-6477
Phone: (618) 997-5266
Fax: (618) 997-5285
Mailing address
PO BOX 776084
CHICAGO, IL 60677-6084
Phone: (314) 364-7586 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 IL 036134130

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 2009
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMANDA CARROLL is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY HOSPITAL JEFFERSON
      1400 US HIGHWAY 61
      FESTUS, MO 63028

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