ERIC CARROLL


Address: 1562 Mitscher Avenue, Suite 250, Norfolk, VA 23551-2487
Phone: 7578363644

ERIC CARROLL (NPI# 1184853749) 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) 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

Taxonomy

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

Office Location

Street Address 1562 MITSCHER AVENUE
SUITE 250
City NORFOLK
State VA
Zip Code 23551-2487

Providers in the same zip code

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 Information

Taxonomy Code 405300000X
Grouping Other Service Providers
Classification Prevention Professional

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City NORFOLK
Zip Code 23551

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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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