Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Shalley Carroll, DPM

Individual provider Podiatrist · NPI 1417956483

John Shalley Carroll, DPM is a Podiatry in Maumee, Ohio. Graduated from Kent State University College of Podiatric Medicine in 1980, 46 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
46
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

609 Ford St
Maumee, OH 43537-1947
Phone: (419) 893-5539
Fax: (419) 893-6853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36 001951 (OH)

Record details

NPI number1417956483
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESFebruary 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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