DR. PHILLIP CARRON


Address: 3556 Broadway, New York, NY 10031
Phone: 2122714364

DR. PHILLIP CARRON (NPI# 1033591375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033591375
Entity Type Individual
Full Name DR. PHILLIP CARRON
Credential M.D.
Practice Address 3556 Broadway
New York
NY 10031
Mailing Address 820 E 17th St
Cheyenne
WY 82001-4714
Practice Telephone 2122714364
Practice Fax Number 2122714863
Mailing Telephone 3076322434
Enumeration Date 2015-06-23
Last Update Date 2018-08-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 065-T1 WY Allopathic & Osteopathic Physicians

Office Location

Street Address 3556 BROADWAY
City NEW YORK
State NY
Zip Code 10031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962868372 City Medical of Upper East Side, Pllc Clinic/Center 3556 Broadway, New York, NY 10031 2016-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346883675 Lisa Tian Chen Physician Assistant 160 Convent Ave., Harris Hall #15, New York, NY 10031 2019-10-18
1699329144 Dianna Rosario Registered Nurse 640 Riverside Drive, New York, NY 10031 2019-08-01
1447767058 Sophie Jetta Miller Social Worker 507 West 140th Street, #43, New York, NY 10031 2018-01-04
1376074005 Broadway Rx Enterprises Inc Pharmacy 3489 Broadway, New York, NY 10031 2017-03-24
1174061469 Mbene Diop In Home Supportive Care 505 West 148 St Apt 4a, New York, NY 10031 2017-02-07
1447702691 Sylvan Roger Maginley Jr. General Practice 302 Convent Avenue 6, New York, NY 10031 2016-11-03
1477009124 Anthony Mcfadden Counselor 625 West 140th Street, Manhattan, NY 10031 2016-08-31
1942754601 E-green Pharmacy Inc Pharmacy 3500 Broadway, New York, NY 10031 2016-08-11
1356712657 Sandra Bulos Internal Medicine 3410-18 Broadway 2nd Fl, New York, NY 10031 2015-10-13
1649664319 L Dental PC Dentist 3682 Broadway Ground Level, New York, NY 10031 2015-03-20
Find all providers in zip 10031

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992319016 Sarah Glaser Family Medicine 30 W 24th St, New York, NY 10010-3207 2020-09-04
1396359642 Marlene Aquino Family Medicine 252 E 4th St Apt 2d, New York, NY 10009-7538 2020-09-03
1164043378 Weber Medical Care Pllc Family Medicine 10 Rutgers St Apt 4l, New York, NY 10002-7167 2020-04-28
1285263806 Dcw Providers, P.a. Family Medicine 394 Broadway 3rd Floor, New York, NY 10013 2020-04-06
1770111429 Live Life Now Health Group Pa Family Medicine 350 7th Ave, New York, NY 10001-5013 2020-03-30
1235762899 121 Medical P.C. Family Medicine 5030 Broadway Ste 818, New York, NY 10034-1670 2020-02-21
1558992206 Juno Medical Practice, Pllc Family Medicine 2119 Frederick Douglass Blvd, New York, NY 10026-2392 2020-01-31
1912567884 Chinatown True Care Medical Pllc Family Medicine 139 Centre St Ste 711, New York, NY 10013-4557 2019-06-13
1295205201 Mary Scanlon-o'kelly Family Medicine 30 West St Apt 2a, New York, NY 10004-3052 2018-12-03
1932691532 Tala Fanek Family Medicine 622 W 168th St Ph 12-1272, New York, NY 10032-3720 2018-05-31
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City NEW YORK
Zip Code 10031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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