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

MS. Mary L Carollo, PAC

Individual provider Surgical Physician Assistant · NPI 1508914904

MS. Mary L Carollo, PAC is a Surgical Physician Assistant in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

175 S Union Blvd Ste 345
Colorado Springs, CO 80910
Phone: (719) 471-7158
Fax: (719) 471-7159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 498 (CO)

Record details

NPI number1508914904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

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