Carroll County Medical Clinic
NPI 1366752768ActiveOrganization· Family Medicine· Carrollton, MO
Family Medicine in Carrollton, Missouri, registered in NPPES in October 2010. The authorized official on file is Jerry Dover, Ceo.
Overview
| NPI | 1366752768 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2010 |
| Last updated in NPPES | Oct 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD106594 | MO |
| Family Medicine | 207Q00000X | MD109202 | MO |
| Internal Medicine | 207R00000X | MD106594 | MO |
| Pediatrics, Adolescent Medicine | 2080A0000X | MD109202 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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