ERIC CARROLL (NPI# 1184853749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184853749 |
Entity Type | Individual |
Full Name | ERIC CARROLL |
Practice Address |
1562 Mitscher Avenue Suite 250 Norfolk VA 23551-2487 |
Mailing Address |
1562 Mitscher Ave Ste 250 Norfolk VA 23551-2487 |
Practice Telephone | 7578363644 |
Enumeration Date | 2009-07-03 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD445329 | PA | Allopathic & Osteopathic Physicians |
Y | 405300000X | Prevention Professional | MD445329 | PA | Other Service Providers |
Street Address |
1562 MITSCHER AVENUE SUITE 250 |
City | NORFOLK |
State | VA |
Zip Code | 23551-2487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407820426 | Jeffery Wayne Paulson | Family Medicine | Fleet Forces Command, 1562 Mitscher Ave, Ste 250, Norfolk, VA 23551-0001 | 2006-02-15 |
1891775532 | Martin Lewis Snyder | Surgery | U.S.fleet Forces Command-command Surgeon, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2006-01-19 |
1366420853 | Supakunya Edmonson | Family Medicine | Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 | 2006-01-04 |
1871585448 | Tiffany A Jones | Dental Hygienist | Uss John F. Kennedy Cv-67, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2005-08-18 |
1831724061 | Steven Mitchell Hartzler | Physician Assistant | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2020-03-09 |
1194205716 | Caleb Swain | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-08-14 |
1548757263 | Dylan Griffiths | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr, Norfolk, VA 23551-0001 | 2018-04-18 |
1184129629 | Michael Uriah Hoerner | Student in an Organized Health Care Education/Training Program | Us Marine Corps Forces Command 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2018-03-27 |
1992208763 | Philippe Andrew Warren | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-03-17 |
1780955534 | Christopher Halagarda | Dietitian, Registered | Us Marine Corps Forces Command, 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2012-01-25 |
Find all providers in zip 23551 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194231951 | Greg James Dow | Prevention Professional | 20 N 20th St Ste A, Richmond, VA 23223-6977 | 2017-12-15 |
1770017030 | Primary Family Care LLC | Prevention Professional | 327 N Royal Ave, Front Royal, VA 22630-2617 | 2017-04-13 |
1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
1174660336 | Dana Gentile | Prevention Professional | 2320 Red Tide Rd, Virginia Beach, VA 23451-1204 | 2007-01-30 |
1134653389 | Katherine Freeman | Prevention Professional | 6680 Short Ln, Gloucester, VA 23061-4410 | 2017-04-14 |
1477092401 | Tarsha Ashford | Prevention Professional | 8317 Fulham Ct, Richmond, VA 23227-1712 | 2017-02-23 |
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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.