DR. RICHARD CARROLL (NPI# 1306821491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306821491 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CARROLL |
| Credential | MD |
| Practice Address |
725 Glenwood Dr Suite E-882 Chattanooga TN 37404-1163 |
| Practice Telephone | 4236982229 |
| Practice Fax Number | 4236242652 |
| Mailing Telephone | 4236982229 |
| Mailing Fax Number | 4236242652 |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35396 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093162877 | Richard Carroll Jr. | Pharmacist | 1241 Warwood Ave, Wheeling, WV 26003-7129 | 2016-05-20 |
| 1689098741 | Richard Gerard Carroll | Pharmacist | 6609 Hagen Blvd, El Cerrito, CA 94530-1716 | 2014-02-10 |
| 1447682489 | Richard Carroll | Social Worker | 606 Main St., Limon, CO 80828 | 2013-08-01 |
| 1841481389 | Richard Wayne Carroll Jr. | Counselor | 320 Sword Street, Lebanon, VA 24266 | 2007-08-08 |
| 1932150711 | Richard Carroll | Internal Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2006-05-15 |
| 1407828007 | Richard Paul Carroll | Specialist | 4887 E Lake Harriet Blvd, Minneapolis, MN 55419-5222 | 2006-02-07 |
| 1922011766 | Richard E Carroll | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2006-08-14 |
| 1558382952 | Richard Neville Carroll | Psychologist | 1700 Whitehorse Hamilton Square Rd, Suite B-5, Hamilton Square, NJ 08690-3536 | 2006-07-21 |
| 1881657427 | Richard Carroll | Psychologist | 446 E Ontario St, #7-100, Chicago, IL 60611-4418 | 2006-04-06 |
| 1619966744 | Richard Peyton Carroll Jr. | Family Medicine | 14508 Ne 20th Ave, Suite 102, Vancouver, WA 98686-6424 | 2005-10-20 |
| Street Address |
725 GLENWOOD DR SUITE E-882 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375491 | Collin G Cherry | Internal Medicine | 725 Glenwood Dr, Suite 480, Chattanooga, TN 37404-1163 | 2005-06-09 |
| 1942732938 | Dianne C. Roland, Md | Internal Medicine | 725 Glenwood Dr, Suite E688, Chattanooga, TN 37404-1163 | 2017-03-30 |
| 1356682066 | Maegen N Frizzell | Physician Assistant | 725 Glenwood Dr, Suite E-487, Chattanooga, TN 37404-1163 | 2013-03-05 |
| 1114299484 | Carrie Suzanne Durante | Physician Assistant | 725 Glenwood Dr, Memorial Missionary Ridge Tower, Ste 488, Chattanooga, TN 37404-1163 | 2012-02-02 |
| 1437464336 | Guru Padmakar Medam | Family Medicine | 725 Glenwood Dr, #e-788, Chattanooga, TN 37404-1163 | 2010-08-16 |
| 1568691509 | Alycia Cleinman | Internal Medicine | 725 Glenwood Dr, Suite E786, Chattanooga, TN 37404-1163 | 2009-07-13 |
| 1578723177 | Hisham Fozi Qutob | Internal Medicine | 725 Glenwood Dr, Suite E-500, Chattanooga, TN 37404-1163 | 2008-06-17 |
| 1386836070 | Liver and Gastroenterology Center | Internal Medicine | 725 Glenwood Dr, Memorial Medical Bldg East Suite 488e, Chattanooga, TN 37404-1163 | 2007-08-16 |
| 1912108598 | Andrew Pace Laramore | Pathology | 725 Glenwood Dr, Suite E-888, Chattanooga, TN 37404-1163 | 2007-05-30 |
| 1750504361 | Infectious Disease Physicians of Chattanooga, Pllc | Internal Medicine | 725 Glenwood Dr, Suite E-486, Chattanooga, TN 37404-1163 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1508412347 | Amber Michelle Steeley | Pediatrics | 2713 Stone Trace Dr, Chattanooga, TN 37421-1194 | 2019-08-16 |
| 1417391756 | Catherine Keegan Wilson | Pediatrics | 3354 Charger Dr, Chattanooga, TN 37409-1265 | 2013-04-17 |
| 1285976019 | Bryn Taylor Meredith | Pediatrics | 281 N Lyerly St Ste 100, Chattanooga, TN 37404-2728 | 2013-03-19 |
| 1730343682 | Pediatric Health Care, PC | Pediatrics | 103 Jordan Dr Ste 3, Chattanooga, TN 37421-6715 | 2008-07-10 |
| 1588822431 | Kenneth G Pittman | Pediatrics | 7446 Shallowford Rd Ste 116, Chattanooga, TN 37421 | 2008-05-28 |
| 1558588111 | Michele Albury Pickett | Pediatrics | 2507 Mccallie Ave, Chattanooga, TN 37404-3304 | 2007-04-18 |
| 1982637625 | Jerome Arnold Sherard | Pediatrics | 340 N Holtzclaw Ave, Chattanooga, TN 37404-2305 | 2006-07-08 |
| 1427080621 | Akinwande Olumide Erinle | Pediatrics | 103 Jordan Dr, Suite 3, Chattanooga, TN 37421-6715 | 2006-07-07 |
| 1023052032 | Ricardo Federico Causo | Pediatrics | 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421-3099 | 2006-06-16 |
| 1588605752 | Zara Sultan Memon | Pediatrics | 403 Spring Creek Rd, Chattanooga, TN 37411-4922 | 2006-06-09 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.