MR. RON J. CARROLL (NPI# 1326015348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326015348 |
| Entity Type | Individual |
| Full Name | MR. RON J. CARROLL |
| Credential | LAT, ATC |
| Practice Address |
2 U Street Jonesboro AR 72401 |
| Mailing Address |
2004 Meadowood Cv Jonesboro AR 72401-3643 |
| Practice Telephone | 8709723342 |
| Practice Fax Number | 8709722052 |
| Mailing Telephone | 8709350325 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | AT115 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2 U STREET |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000981 | Arkansas State University Athletic Training | Specialist/Technologist | 2 U Street, Jonesboro, AR 72401 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023380045 | Ricky Tribble | Specialist/Technologist | 708 Windover Rd Ste A, Jonesboro, AR 72401-6064 | 2012-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306133061 | Nicole Staton | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2011-07-01 |
| 1649579061 | Tanika Michele Harris | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2011-03-24 |
| 1487958260 | Jason Kyle Turner | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2011-01-07 |
| 1437468766 | Jackie Mobley | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-10-05 |
| 1346555869 | Jenny Crossland | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-08-09 |
| 1811202336 | Christy Roark | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-08-09 |
| 1972822484 | Nina M. Diggins | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-05-24 |
| 1932425436 | Katie Jane Matney | Specialist/Technologist | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2010-04-09 |
| 1164747689 | Anita K. Deal | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-03-29 |
| 1831414259 | Tracy Mccool | Specialist/Technologist | 3214 Winchester, Benton, AR 72015-2929 | 2010-03-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RON J. CARROLL.
| 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.