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

Timothy Ross Carroll, PA-C

Individual provider Physician Assistant · NPI 1477031870

Timothy Ross Carroll, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2018, 8 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1055 N 500 W Ste 121
Provo, UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 W 800 N Ste 100, Orem, UT 84057-6301 — (801) 373-7350
  • 555 W Sr 164, Salem, UT 84653 — (801) 373-7350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10873768-1206 (UT)

Record details

NPI number1477031870
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESNovember 27, 2023
Certification dateAugust 26, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Provo