PETER J CARROLL (NPI# 1134138878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134138878 |
| Entity Type | Individual |
| Full Name | PETER J CARROLL |
| Credential | PA |
| Practice Address |
1650 Cochrane Cir Usameddac Ft Carson CO 80913-4613 |
| Mailing Address |
1650 Cochrane Cir Usameddac Colorado Springs CO 80913-4613 |
| Practice Telephone | 7195037027 |
| Mailing Telephone | 7195037027 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132425 | Peter Carroll | Case Manager/Care Coordinator | 163 Summer St, Newport, NH 03773-1208 | 2020-10-20 |
| 1366461667 | Peter R. Carroll | Urology | 1600 Divisadero St Fl 3, San Francisco, CA 94115-3010 | 2006-07-18 |
| 1558307215 | Peter J Carroll | Dentist | 7946 Bustleton Ave, Philadelphia, PA 19152-3321 | 2006-06-21 |
| 1568456267 | Peter J Carroll | Family Medicine | 1617 N Washington, Magnolia, AR 71753-2046 | 2005-09-08 |
| Street Address |
1650 COCHRANE CIR USAMEDDAC |
| City | FT CARSON |
| State | CO |
| Zip Code | 80913-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063459 | Michael John Beggs | Physical Therapist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2019-10-08 |
| 1205301421 | Mitchell Ryan Andreas | Physician Assistant | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2018-10-04 |
| 1427417062 | Justin Grisham | Emergency Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2016-02-10 |
| 1780060491 | Jason Phillip Aitken | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-08-04 |
| 1871985887 | Us Army | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-02-27 |
| 1780076869 | Joseph Milo Hibbert | Pathology | 1650 Cochrane Cir, Ft Carson, CO 80913 | 2015-02-25 |
| 1710384961 | Jonathan Matthew Luppens | Pharmacist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2014-12-02 |
| 1386059970 | Mario Soto | Emergency Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2014-06-23 |
| 1407284037 | Remedios Evans | Registered Nurse | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-10-16 |
| 1811331846 | Jeffrey T Kay | General Practice | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437304763 | Ted H. Snyder | Physician Assistant | 1605 Cochrane Cir., Evans Army Community Hospital, Ft Carson, CO 80913 | 2008-12-01 |
| 1902948656 | Paul John Ruchalski Jr. | Physician Assistant | Evans Army Community Hospital Usa Meddac, Diraimondo Family Medicine Clinic, Ft Carson, CO 80913-4604 | 2007-02-12 |
| 1750441440 | Dale A Spence | Physician Assistant | Evans Army Comunity Hospital, Premier Medical Home, Ft Carson, CO 80913-4604 | 2006-12-11 |
| 1366464877 | Andrew Robert Austin | Physician Assistant | 1650 Cochrane Cir, Attn: Credentials Office, Evans Army Community Hospital (each) Usa Meddac, Ft Carson, CO 80913-4604 | 2006-07-24 |
| 1215907043 | Cindy D Mccollom | Physician Assistant | 1650 Cochrane Circ, Ft Carson, CO 80913-1082 | 2006-01-24 |
| 1730714486 | Robert Lee Fenton | Physician Assistant | 1650 Cochrane Cir # B7500, Ft Carson, CO 80913-4613 | 2020-03-03 |
| 1205301421 | Mitchell Ryan Andreas | Physician Assistant | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2018-10-04 |
| 1437672409 | Stephen A Karagosian | Physician Assistant | Evans Army Community Hospital, 1650 Cochrane Cir B7500, Ft Carson, CO 80913 | 2017-07-21 |
| 1619218088 | Daniel James Realini | Physician Assistant | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-03-11 |
| 1972865715 | Amanda Marie Buchholz | Physician Assistant | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2012-06-07 |
| Find all providers in FT CARSON | ||||
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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.