Provider Demographics
NPI:1730177163
Name:MCCARROLL, HENRY R JR (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:R
Last Name:MCCARROLL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3838 CALIFORNIA ST RM 715
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1509
Mailing Address - Country:US
Mailing Address - Phone:415-668-8010
Mailing Address - Fax:415-928-1035
Practice Address - Street 1:2351 CLAY ST
Practice Address - Street 2:STE 510
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1931
Practice Address - Country:US
Practice Address - Phone:415-392-3225
Practice Address - Fax:415-928-1035
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2021-02-16
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Provider Licenses
StateLicense IDTaxonomies
CAG027305207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G273051Medicaid
CA00G273050Medicare PIN
CA00G273051Medicaid