Provider Demographics
NPI:1891913760
Name:CARROLL, JOAN BARBARA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:BARBARA
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LIBERTY AVE
Mailing Address - Street 2:APT 421
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-4240
Mailing Address - Country:US
Mailing Address - Phone:412-281-4184
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF ANESTHESIOLOGY MAGEE WOMEN'S HOSP
Practice Address - Street 2:300 HALKET STREET
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-641-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 029686 E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A99107Medicare UPIN