Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
AMY D CAROLAN
Active
Individual
AMY D CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD23489
OR
208M00000X
Hospitalist Physician
Primary
MD23489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286794
—
OR
01
—
P00464791
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
06/27/2006
Last updated
10/19/2020
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