CHARLES LOYD CARROLL (NPI# 1114927373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114927373 |
| Entity Type | Individual |
| Full Name | CHARLES LOYD CARROLL |
| Credential | DO |
| Practice Address |
4778 S Scatterfield Rd Anderson IN 46013-2908 |
| Mailing Address |
410 Pilgrim Blvd Hartford City IN 47348-1382 |
| Practice Telephone | 7656466331 |
| Mailing Telephone | 7653480300 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 02001626A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 02001626A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BC/BS # | 000000198187 | 01 |
| IN | 200031800 | 05 | |
| IN | RAILROAD | 080174096 | 01 |
| OH | 2000382 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1790055564 | Charles Peter Carroll | Surgery | 974 Kealaolu Avenue, Honolulu, HI 96816 | 2012-01-10 |
| 1003846353 | Charles Shannon Carroll | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2006-07-03 |
| 1962445890 | Charles W Carroll | Family Medicine | 56 Cedar St, Tipton, IA 52772-1705 | 2006-06-14 |
| 1396224051 | Charles Carroll | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2018-08-13 |
| 1518335850 | Charles Carroll | Counselor | 98 N Front St, New Bedford, MA 02740-7327 | 2015-09-03 |
| 1215149000 | Charles J Carroll | Social Worker | 328 Sparta Ave, Suite F, Sparta, NJ 07871-1112 | 2007-05-04 |
| 1689647448 | Charles Carroll Iv | Orthopaedic Surgery | 680 N Lake Shore Dr, Ste 924, Chicago, IL 60611-4546 | 2006-02-10 |
| 1780681239 | Charles Patrick Carroll | Ophthalmology | 89 Sylvania Dr, 2nd Fl, Dayton, OH 45440-3237 | 2005-06-30 |
| Street Address |
4778 S SCATTERFIELD RD |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558286 | Linda Soper | Personal Emergency Response Attendant | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2005-06-17 |
| 1215548557 | Carmen Young | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2020-08-11 |
| 1326671835 | Stephanie Marie Goodpaster | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2020-02-13 |
| 1073032207 | Erin Michelle Watson | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2017-09-19 |
| 1760926364 | Shelly Jean Roberts | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2016-12-15 |
| 1104368042 | Janae E Wilson | Physician Assistant | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2016-11-09 |
| 1639594773 | Tessa Palmer | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013 | 2014-02-26 |
| 1518221449 | Rachelle L. Cary | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2012-06-26 |
| 1659630812 | Laura Jill Littlejohn | Nurse Practitioner | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2012-05-09 |
| 1558536516 | Lindsay Nesbitt | Pediatrics | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215363429 | Medexpress Urgent Care, PC-indiana | Emergency Medicine | 3800 South Scatterfield Road, Anderson, IN 46013-2621 | 2013-09-19 |
| 1679578850 | St. Vincent Anderson Regional Hospital, Inc. | Emergency Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2005-06-15 |
| 1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
| 1093243412 | Michael Clarke | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2017-05-30 |
| 1124550934 | Kevin Matthew Summers | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2017-03-30 |
| 1245761147 | Joseph Daniel Cox | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2017-03-22 |
| 1558711911 | Cody Tyler Johnson | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2016-06-16 |
| 1861730111 | Madison County Emergency Services PC | Emergency Medicine | 2015 Jackson St, Emergency Department, Anderson, IN 46016-4337 | 2013-01-22 |
| 1336403070 | Jessilynn Reese Rose | Emergency Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2012-06-27 |
| 1114292877 | Epcha, PC | Emergency Medicine | 1515 N Madison Ave, Emergency Department, Anderson, IN 46011-3453 | 2012-03-14 |
| Find all providers in ANDERSON | ||||
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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.