DR. BRENDA ANN CARROLL (NPI# 1396739595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396739595 |
| Entity Type | Individual |
| Full Name | DR. BRENDA ANN CARROLL |
| Credential | M.D. |
| Practice Address |
1320 W 24th St Yuma AZ 85364-6233 |
| Practice Telephone | 9283172518 |
| Practice Fax Number | 9283734206 |
| Mailing Telephone | 9283172518 |
| Mailing Fax Number | 9283734206 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 053433 | GA | Other Service Providers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
41749 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 893096988A | 05 | |
| GA | BCBS | 52053633 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841542586 | Brenda Carroll | Lactation Consultant, Non-RN | 22005 W 56th St, Shawnee, KS 66226-7921 | 2012-10-04 |
| 1851493779 | Brenda Lee Carroll | Registered Nurse | 3448 Visalia Rd, Morning View, KY 41063-8731 | 2006-09-01 |
| 1043836919 | Brenda Hunt Carroll | Specialist/Technologist | 270 Conifer Way, Shelby, NC 28150-7302 | 2020-06-17 |
| 1033514807 | Brenda M. Carroll | Counselor | 7402 York Road, Suite 300, Towson, MD 21204-7522 | 2014-10-23 |
| Street Address |
1320 W 24TH ST |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-6233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915719 | William Michael Shea | Radiology | 1320 W 24th St, Yuma, AZ 85364-6233 | 2005-07-07 |
| 1659680452 | Augustine W. Lau M.d., P.l.l.c | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2010-09-28 |
| 1164661997 | Margarita Hernandez Guzman | Naturopath | 1320 W 24th St, Yuma, AZ 85364-6233 | 2009-02-18 |
| 1851555874 | Ambuga Badari | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2008-07-18 |
| 1790959450 | Sonoran Desert Oncology PC | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2008-04-14 |
| 1942250360 | Carl F Myers | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2006-05-10 |
| 1265496376 | Gregory Yang | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972746287 | Keerti Khandelwal | Internal Medicine | 1951 W 25th St Ste F, Yuma, AZ 85364-6924 | 2009-04-16 |
| 1184816332 | Abhinav Binod Chandra | Internal Medicine | 2375 S Ridgeview Dr, Yuma, AZ 85364-8868 | 2007-08-13 |
| 1760822522 | Angela Saverimuthu | Internal Medicine | 2375 S Ridgeview Dr, Yuma, AZ 85364-8868 | 2013-06-26 |
| 1871844258 | Makardhwaj Sarvadaman Shrivastava | Internal Medicine | 2375 S Ridgeview Dr, Yuma, AZ 85364 | 2012-09-26 |
| 1871857391 | Raju Kumar Vaddepally | Internal Medicine | 2375 S Ridgeview Dr, Yuma, AZ 85364 | 2012-06-28 |
| 1851555874 | Ambuga Badari | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2008-07-18 |
| 1790959450 | Sonoran Desert Oncology PC | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2008-04-14 |
| 1942250360 | Carl F Myers | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2006-05-10 |
| 1265496376 | Gregory Yang | Internal Medicine | 1320 W 24th St, Yuma, AZ 85364-6233 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700798 | Iloabueke Gabriel Chineke | Internal Medicine | 3838 N. Campbell Ave, Tucson, AZ 85719-1454 | 2017-06-21 |
| 1699035717 | Robert Dukjun Yoo | Internal Medicine | 1432 S Dobson Rd Ste 106, Mesa, AZ 85202 | 2012-05-22 |
| 1548538499 | Robert David Ligorsky | Internal Medicine | 11035 E Acoma Dr, Scottsdale, AZ 85255-1865 | 2011-12-07 |
| 1972895340 | Abhishek Harshad Patel | Internal Medicine | 5750 W Thunderbird Rd Ste C300, Glendale, AZ 85306-4666 | 2011-05-04 |
| 1487989927 | Clevius Arnold Curry | Internal Medicine | 10500 E Lost Canyon Dr Lot 8, Scottsdale, AZ 85255-4454 | 2009-10-15 |
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1205086378 | Desert Springs Cancer Care, P.l.c. | Internal Medicine | 8950 S 52nd St, Suite 101, Tempe, AZ 85284-1046 | 2008-09-25 |
| 1114182185 | Maria Mercedes Brenneisen | Internal Medicine | 21600 W El Grande Trl, Wickenburg, AZ 85390-3476 | 2008-07-18 |
| 1568625077 | Lida A Mina | Internal Medicine | 2940 E. Banner Gateway Dr., Gilbert, AZ 85234 | 2008-07-03 |
| 1972766772 | Foluso N Ogunleye | Internal Medicine | 9250 N 3rd St Ste 3010, Phoenix, AZ 85020 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
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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.