Healthcare Provider Details

I. General information

NPI: 1891351631
Provider Name (Legal Business Name): ALEXANDRIA MIKEL CARROLL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 DUFF AVE STE 100
AMES IA
50010-5733
US

IV. Provider business mailing address

1412 SW CAMPUS LN
ANKENY IA
50023-2866
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-6970
  • Fax: 515-239-6950
Mailing address:
  • Phone: 515-239-2011
  • Fax: 515-239-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number51582
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: