PATRICK DOUGLAS CARROLL (NPI# 1275719445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275719445 |
| Entity Type | Individual |
| Full Name | PATRICK DOUGLAS CARROLL |
| Credential | M.D., M.P.H. |
| Practice Address |
544 S 400 E St George UT 84770-3705 |
| Practice Telephone | 4356882000 |
| Mailing Telephone | 4356882000 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2010-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
7590021-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
35.088644 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386837821 | Patrick Carroll | Dentist | 220 E Illinois St Apt 2802, Chicago, IL 60611-4516 | 2007-08-18 |
| 1598880734 | Patrick James Carroll | Dentist | 255 Phillippe Pkwy, Safety Harbor, FL 34695-3652 | 2007-03-20 |
| 1558472472 | Patrick Michael Carroll | Dentist | 7513 New Lagrange Rd, Louisville, KY 40222-4859 | 2006-08-31 |
| 1346259140 | Patrick J. Carroll | Counselor | 405 Kays Dr, Normal, IL 61761-1979 | 2006-08-08 |
| 1861496267 | Patrick W Carroll | Dentist | 301 Country Club Rd, Ste A, Pocahontas, AR 72455-8802 | 2005-06-13 |
| 1184187924 | Patrick Daniel Carroll | Counselor | 3430 E Highway 101 Ste 3, Port Angeles, WA 98362-9069 | 2019-04-09 |
| 1053894733 | Patrick Carroll | Physical Therapist | 1944 Canyon Rd Ste 100, Vestavia Hills, AL 35216-1761 | 2018-09-10 |
| 1710325022 | Patrick F Carroll | Dentist | 1921 Sheridan Blvd, Edgewater, CO 80214-1325 | 2013-06-08 |
| 1386930246 | Patrick S Carroll | Emergency Medicine | 1001 S George St, York Hospital, York, PA 17403-3676 | 2011-06-20 |
| 1255637989 | Patrick Gerard Carroll | Case Manager/Care Coordinator | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-01-27 |
| Street Address |
544 S 400 E |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813474 | Rusty A Moore | Physical Medicine & Rehabilitation | 544 S 400 E, 5th Floor, St George, UT 84770-3705 | 2005-12-28 |
| 1265069066 | Ihc Health Services Inc | Internal Medicine | 544 S 400 E, St George, UT 84770-3705 | 2020-03-24 |
| 1477005783 | Nicole Cummins | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2016-11-03 |
| 1831558204 | Elisa Edwards | General Acute Care Hospital | 544 S 400 E, St George, UT 84770-3705 | 2016-02-15 |
| 1588057152 | Lisa Certonio | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2015-03-06 |
| 1073924312 | Nathaniel William Seck | Psychiatry & Neurology | 544 S 400 E, St George, UT 84770-3705 | 2014-05-08 |
| 1235481375 | Min Li | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-10-14 |
| 1215291992 | Matt Trane Webb | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-06-27 |
| 1053677245 | Richard C Tebbs II | Physician Assistant | 544 S 400 E, St George, UT 84770-3705 | 2012-04-02 |
| 1528339769 | Ihc Health Services Inc | Family Medicine | 544 S 400 E, St George, UT 84770-3705 | 2012-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588210777 | Jennifer Ann Hearne | Pediatrics | 50 N Medical Drive Nbicu, Slc, UT 84132-0001 | 2019-08-13 |
| 1780862425 | Zachary Robert Zarbock | Pediatrics | 758 Sunset Ponds Dr, Draper, UT 84020-7510 | 2008-02-05 |
| 1043405376 | Bountiful Pediatrics and Neonatology Inc | Pediatrics | 345 N Davis Blvd, Bountiful, UT 84010-1808 | 2007-09-10 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760481162 | Timothy Robert Lapine | Pediatrics | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2005-07-18 |
| 1811486533 | Ihc Health Services Inc | Pediatrics | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-05-08 |
| 1356876858 | Allison M. Fisher | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-04-22 |
| 1427580794 | Ariel Tarrell | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-03-28 |
| 1003366766 | Anastasiya Mankouski | Pediatrics | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2016-10-06 |
| 1770947814 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
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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.