DR. AMANDA LYNN CARROLL (NPI# 1396079208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396079208 |
Entity Type | Individual |
Full Name | DR. AMANDA LYNN CARROLL |
Credential | D.O. |
Practice Address |
3408 Office Park Dr Marion IL 62959-6477 |
Mailing Address |
603b N Fair St Marion IL 62959-3906 |
Practice Telephone | 6189975266 |
Practice Fax Number | 6189975285 |
Mailing Telephone | 5733669507 |
Enumeration Date | 2009-09-24 |
Last Update Date | 2013-12-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 036134130 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043875123 | Amanda Carroll | Specialist/Technologist | 1701 Frankfort Rd, Shelbyville, KY 40065-9451 | 2019-05-05 |
1215301833 | Amanda R Carroll | Social Worker | 1515 Doctors Dr Ste 4, Bossier City, LA 71111 | 2015-11-19 |
1326388364 | Amanda Carroll | Occupational Therapist | 2903 N Davidson St, Apt. 2033, Charlotte, NC 28205-1096 | 2013-02-28 |
1528315470 | Amanda Jeanne Carroll | Nurse Practitioner | 1358 Kent St, Saint Paul, MN 55117-4226 | 2012-08-09 |
1427692789 | Amanda Denise Carroll | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-10-30 |
1023670338 | Amanda Marie Carroll | Dentist | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2019-07-08 |
1801459078 | Amanda Elizabeth Carroll | Physician Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2019-04-15 |
1942713946 | Amanda M Carroll | Physician Assistant | 933 Red Apple Rd, Wenatchee, WA 98801 | 2017-11-13 |
1164672226 | Amanda Mckenzie Carroll | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-09-25 |
1891810891 | Amanda Rae Carroll | Physical Therapist | 102 Campus Ave, Lewiston, ME 04240 | 2007-03-20 |
Street Address |
3408 OFFICE PARK DR |
City | MARION |
State | IL |
Zip Code | 62959-6477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780641852 | Michael A Covlin | Obstetrics & Gynecology | 3408 Office Park Dr, Marion, IL 62959-6477 | 2006-05-01 |
1629601851 | Talia Whittington | Advanced Practice Midwife | 3408 Office Park Dr, Marion, IL 62959-6477 | 2020-02-17 |
1427513415 | Leslie King | Registered Nurse | 3408 Office Park Dr, Marion, IL 62959-6477 | 2019-02-05 |
1285108621 | Heartland Women's Healthcare Ltd | Clinic/Center | 3408 Office Park Dr, Marion, IL 62959-6477 | 2019-01-18 |
1588105944 | Pamela Jellen | Advanced Practice Midwife | 3408 Office Park Dr, Marion, IL 62959-6477 | 2017-03-17 |
1982143335 | Shannan Cantu Santoli | Advanced Practice Midwife | 3408 Office Park Dr, Marion, IL 62959-6477 | 2017-02-17 |
1285170746 | Marion Reyes | Advanced Practice Midwife | 3408 Office Park Dr, Marion, IL 62959-6477 | 2017-01-09 |
1730594615 | Barenya Mukerji | Obstetrics & Gynecology | 3408 Office Park Dr, Marion, IL 62959-6477 | 2014-06-30 |
1053665711 | Donna R Walters | Nurse Practitioner | 3408 Office Park Dr, Marion, IL 62959-6477 | 2012-11-02 |
1487809877 | Kathryn Elizabeth Mowery | Midwife | 3408 Office Park Dr, Marion, IL 62959-6477 | 2008-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
Find all providers in zip 62959 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437453081 | Smyth County Community Hospital | Obstetrics & Gynecology | 1112 Snider St, Marion, VA 24354-4216 | 2010-12-22 |
1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
1700050630 | Nisha Patel Md & Associates Pa | Obstetrics & Gynecology | 6 E Medical Ct Ste 1, Marion, NC 28752-4970 | 2008-04-22 |
1922285766 | Dr Donald D S Wu Pa | Obstetrics & Gynecology | 1328 North Main Street, Marion, SC 29571 | 2008-01-23 |
1407925324 | Ogochukwu A. Okpala | Obstetrics & Gynecology | 117 W Medical Ct, Marion, NC 28752-5590 | 2006-11-07 |
1194801373 | William David Moore | Obstetrics & Gynecology | 1127 N Western Avenue, Marion, IN 46952-1164 | 2006-10-31 |
1831271899 | Donald S Wu | Obstetrics & Gynecology | 1328 N Main Street, Marion, SC 29571 | 2006-10-19 |
1336151372 | Total Woman Ob/gyn, P.C. | Obstetrics & Gynecology | 959 E 4th St, Marion, IN 46952-4079 | 2006-08-11 |
1154358141 | Ariel J Gonzalez | Obstetrics & Gynecology | 3307 W Commercial Dr, Marion, IL 62959 | 2006-06-27 |
1689611360 | Cindy J Parker | Obstetrics & Gynecology | 596 Radio Hill Rd, Marion, VA 24354-4224 | 2006-06-01 |
Find all providers in MARION |
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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.