# DR. EDMUND THOMAS CARROLL III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629029749
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C20007511 | DE | Yes |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 01/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000035330 | — | DE |
| 01 | — | 1184681488 | COMMERCIAL INSURANCES | — |
| 01 | — | 204955 | UNISON HEALTH PLAN | — |
| 01 | — | 2129304 | ONENET PPO, MAMSI, OPTIMUM CHOICE | — |
| 01 | — | 2356448000 | AMERIHEALTH | — |
| 01 | — | 3638665 | AETNA US HEALTHCARE | — |
| 01 | — | 51-0343207 | BLUE CROSS BLUE SHIELD OF DELAWARE | — |
| 01 | — | 51-0370286 | GREAT-WEST HEALTHCARE | — |
| 01 | — | P00247768 | RAILROAD MEDICARE | — |