Provider Demographics
NPI:1578561932
Name:MCCARROLL, RAYMOND EUGENE (DPM)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:EUGENE
Last Name:MCCARROLL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003854L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0397447000OtherAMERIHEALTH
2170558OtherMAMSI
1987178OtherPRIVATE HEALTHCARE SYSTEM
7657041OtherCIGNA HEALTHCARE
821134OtherFIRST PRIORITY HEALTH
0397447000OtherKEYSTONE HEALTH EAST
0397447000OtherINDEPENDENCE BLUE CROSS
P867062OtherOXFORD HEALTH PLANS
480024412OtherMEDICARE RAILROAD
951456OtherHIGHMARK BLUE SHIELD
01212101OtherKEYSTONE HEALTH CENTRAL
328789OtherHEALTHAMERICA/HEALTHASSUR
53645OtherGEISINGER HEALTH PLAN
PA0016637230001Medicaid
01212101OtherCAPITAL BLUE CROSS
2010102OtherUNITED HEALTHCARE
2511166OtherAETNA PPO
951456Medicare PIN