DR. CLINTON MICHAEL CARROLL (NPI# 1215100011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215100011 |
Entity Type | Individual |
Full Name | DR. CLINTON MICHAEL CARROLL |
Credential | M.D. |
Practice Address |
330 23rd Ave N Ste 450 Nashville TN 37203-1661 |
Practice Telephone | 6153427339 |
Practice Fax Number | 6153427340 |
Mailing Telephone | 6153427339 |
Mailing Fax Number | 6153427340 |
Enumeration Date | 2008-04-12 |
Last Update Date | 2019-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
23733 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09971842 | 05 |
Street Address |
330 23RD AVE N STE 450 |
City | NASHVILLE |
State | TN |
Zip Code | 37203-1661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386155331 | Amy Leigh Greer | Pediatrics | 330 23rd Ave N Ste 450, Nashville, TN 37203-1661 | 2017-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
Find all providers in zip 37203 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134448624 | Emmanuel John Volanakis | Pediatrics | 113 Hardingwoods Pl, Nashville, TN 37205-3611 | 2010-05-24 |
1649463183 | Adam Esbenshade | Pediatrics | 397 Prb 2220 Pierce Ave, Nashville, TN 37232-0001 | 2007-08-18 |
1609283365 | Kate Luck | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2014-07-15 |
1992117097 | Brianna Nicole Smith | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2014-05-22 |
1518000900 | Robert Francis Sidonio Jr. | Pediatrics | 2220 Pierce Ave, 395 Preston Research Building, Nashville, TN 37232-6310 | 2007-02-15 |
1275617375 | Haydar Frangoul | Pediatrics | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2006-10-25 |
1447334552 | Elizabeth Yang | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-25 |
1356422604 | Debra L Friedman | Pediatrics | 2525 West End Ave, Suite 600, Nashville, TN 37203-1738 | 2006-10-17 |
1063504470 | James Whitlock | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
1407969488 | Scott C Borinstein | Pediatrics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-08-16 |
Find all providers in NASHVILLE |
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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.