MR. LARRY J CARROLL (NPI# 1336258045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336258045 |
| Entity Type | Individual |
| Full Name | MR. LARRY J CARROLL |
| Credential | CRNA, APN |
| Practice Address |
904 W Temple Ave Effingham IL 62401-2178 |
| Mailing Address |
2630 E Fork Dr Vandalia IL 62471-3818 |
| Practice Telephone | 2173421234 |
| Mailing Telephone | 6182830233 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | IL | Nursing Service Providers | |
| X | 367500000X | Nurse Anesthetist, Certified Registered | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164476966 | Larry Carroll | Orthopaedic Surgery | 500 Campus Dr, Hancock, MI 49930-1569 | 2006-05-19 |
| Street Address |
904 W TEMPLE AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841259744 | Robert H Petty | Anesthesiology | 904 W Temple Ave, Effingham, IL 62401-2178 | 2006-03-20 |
| 1922393305 | Maria C. Ellis | Nurse Anesthetist, Certified Registered | 904 W Temple Ave, Effingham, IL 62401-2178 | 2011-06-14 |
| 1306913868 | Robert H and Teresita S Petty | Anesthesiology | 904 W Temple Ave, Effingham, IL 62401-2178 | 2006-11-29 |
| 1831280536 | Effingham Surgical Partners LLC | Anesthesiology | 904 W Temple Ave, Effingham, IL 62401-2178 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038026 | Rebekah Jane Poston | Registered Nurse | 7344 Friendfield Rd, Effingham, SC 29541-5212 | 2020-03-20 |
| 1053837682 | Sara Althoff | Registered Nurse | 12311 E 1800th Ave, Effingham, IL 62401-6853 | 2017-08-15 |
| 1306204227 | Keri Utz | Registered Nurse | 7 Rollin Hills Blvd, Effingham, IL 62401-1851 | 2016-02-05 |
| 1417374166 | Carolyn Mccall | Registered Nurse | 6851 Friendfield Rd, Effingham, SC 29541-5240 | 2014-03-19 |
| 1437783073 | Donna Jean Pierson | Registered Nurse | 2803 S Banker St, Effingham, IL 62401-2978 | 2020-02-22 |
| 1689074296 | Diana Woltman | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2014-09-02 |
| 1013291640 | Jere Sue Wernsing | Registered Nurse | 1200 N 4th St, Effingham, IL 62401-3032 | 2011-09-30 |
| 1992943591 | Laura Deters | Registered Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1699912840 | Sherri Kay Wood | Registered Nurse | 1011 Ford Ave, Effingham, IL 62401 | 2009-01-09 |
| 1740439504 | Daniel L Shadle | Registered Nurse | 900 W Temple Ave, Effingham, IL 62401-2121 | 2008-09-16 |
| Find all providers in EFFINGHAM | ||||
Please comment or provide details below to improve the information on MR. LARRY 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.