DR. ELAINE MARY CARROLL (NPI# 1104926922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104926922 |
| Entity Type | Individual |
| Full Name | DR. ELAINE MARY CARROLL |
| Credential | MD |
| Practice Address |
10,000 Bay Pines Blvd Bay Pines FL 33744-5005 |
| Mailing Address |
Po Box 5005 Bay Pines FL 33744-5005 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 7273986661 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
21690 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739492 | Elaine Marie Carroll | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601 | 2006-02-15 |
| 1427309418 | Elaine Carroll | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2012-10-01 |
| Street Address |
10,000 BAY PINES BLVD |
| City | BAY PINES |
| State | FL |
| Zip Code | 33744-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851351829 | Rudolph Mannari | Physician Assistant | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2006-03-24 |
| 1649881160 | Denyse F Wilkins | Social Worker | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2020-08-10 |
| 1194078493 | Caroline Blake Sanborn | Dietitian, Registered | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2012-10-24 |
| 1679880264 | Leigh Ann Wisnieski | Pharmacist | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2010-09-03 |
| 1710211602 | Cristen Koslik | Military Health Care Provider | 10,000 Bay Pines Blvd, Post Office Box 5005, Bay Pines, FL 33744 | 2009-09-24 |
| 1831320050 | Angeliza Abrahan Del Rosario | Pharmacist | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2009-08-05 |
| 1710123096 | Cynthia Roberts | Social Worker | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2008-12-17 |
| 1073758405 | Jean Mcgraw | Social Worker | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2008-12-15 |
| 1952554180 | Schannelle Parker | Pathology | 10,000 Bay Pines Blvd, Bay Pines, FL 33741 | 2008-10-31 |
| 1134386998 | Michele Elizabeth Frank | Spec/Tech, Pathology | 10,000 Bay Pines Blvd, P&lms (113), Bldg 100, Rm 2b-129, Bay Pines, FL 33744 | 2008-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073547543 | Kenneth O. Carter | Psychiatry & Neurology | 1000 Bay Pines Blvd., Bay Pines, FL 33744 | 2006-07-10 |
| 1306295993 | Sunil Bhairo | Psychiatry & Neurology | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2016-06-06 |
| 1144621525 | Matthew Malone | Psychiatry & Neurology | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2014-09-04 |
| 1932343498 | Matthew S Knisley | Psychiatry & Neurology | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2009-04-28 |
| 1912026618 | David Edgar Frank | Psychiatry & Neurology | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2007-03-27 |
| 1700967197 | Lori Sue Shriner | Psychiatry & Neurology | 10,000 Bay Pines Blvd, Bay Pines, FL 33744-5005 | 2006-10-18 |
| 1912009226 | Nabil A. Dajani | Psychiatry & Neurology | Bay Pines Va Health Care System, 10,000 Bay Pines Boulevard, Dept. 116a, Bay Pines, FL 33708 | 2006-09-05 |
| 1790897841 | Michael Peter Bennetts | Psychiatry & Neurology | 10,000 Bay Pines Blvd., 116a, Bay Pines, FL 33744 | 2006-08-31 |
| 1578670006 | Nirmala Vardhan | Psychiatry & Neurology | 10,000 Bay Pines Blvd, Bay Pines, FL 33744 | 2006-08-23 |
| 1467567727 | Michael Matthew Loscalzo | Psychiatry & Neurology | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2006-08-20 |
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| 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.