DR. TIMOTHY WAYNE CARROLL (NPI# 1437189396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437189396 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY WAYNE CARROLL |
| Credential | MD |
| Practice Address |
150 N Eagle Creek Dr Lexington KY 40509-1805 |
| Mailing Address |
Po Box 633815 Cincinnati OH 45263-0001 |
| Practice Telephone | 8659675000 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 32975 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P00233172 | 01 |
| KY | 4329758 | 05 | |
| KY | 64329758 | 05 | |
| KY | BCBS | 000000258128 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694767 | Timothy Field Carroll | Student in an Organized Health Care Education/Training Program | 3435 Dickason Ave Apt 2616, Dallas, TX 75219-4987 | 2020-03-19 |
| 1770600694 | Timothy Carroll | Physical Therapy Assistant | Rr 2 Box 534, Comanche, OK 73529-9677 | 2007-03-24 |
| 1952468787 | Timothy Kennell Carroll | Psychologist | 4790 N Winners Cir Unit A, Palm Springs, CA 92264-5868 | 2007-01-02 |
| 1629173323 | Timothy Carroll | Dentist | 3h Taggart Dr, Nashua, NH 03060-5592 | 2006-09-14 |
| 1235751231 | Timothy Patrick Carroll | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-12 |
| 1902446248 | Timothy Martin Carroll | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2020-01-15 |
| 1639651243 | Timothy Carroll | Physical Therapy Assistant | 7540 N 19th Ave, Phoenix, AZ 85021-7967 | 2018-08-30 |
| 1477031870 | Timothy Ross Carroll | Physician Assistant | 1055 N 500 W Ste 121, Provo, UT 84604-3305 | 2018-07-30 |
| 1215334792 | Timothy Joel Carroll | Pharmacist | 45 Earhart Dr, Suite 110, Amherst, NY 14221-7809 | 2014-11-26 |
| 1891116141 | Timothy Carroll | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-01-03 |
| Street Address |
150 N EAGLE CREEK DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786440 | Philip Craig Booker | Anesthesiology | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2005-08-03 |
| 1134726201 | Katlyn Renee Holt | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2020-10-02 |
| 1366057143 | Kaley Alana Pagan | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2020-09-09 |
| 1093324691 | Amanda Wolfe | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2020-07-29 |
| 1669014114 | Steven Christopher Berger | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-10-16 |
| 1063054120 | Stephen Joseph Skeens | Nurse Anesthetist, Certified Registered | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-10-10 |
| 1205486966 | Tory Fehrenbacher | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-09-16 |
| 1316593544 | Margaret Catherine Schaefer | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-08-13 |
| 1740832195 | Lauren Morrison | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-07-15 |
| 1730741679 | Cortney Lanai Gunning | Nurse Anesthetist, Certified Registered | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1659786291 | Kristine Song | Emergency Medicine | 800 Rose St # M-53, Lexington, KY 40536 | 2014-06-23 |
| 1952640807 | Doctors Care Sc, Pa | Emergency Medicine | 1847 S Lake Dr, Lexington, SC 29073-7759 | 2013-02-12 |
| 1013273853 | Andrew D Buckley | Emergency Medicine | 2032 Twain Ridge Dr, Lexington, KY 40514-1325 | 2012-04-05 |
| 1518250570 | Bruce Joseph Kostelnik | Emergency Medicine | 1857 Goodpaster Way, Lexington, KY 40505-9005 | 2011-05-24 |
| 1588953913 | Bradley Parker Buckingham | Emergency Medicine | 4016 Mooncoin Way, Lexington, KY 40515-6018 | 2011-04-06 |
| 1144528589 | Nashley Kyle Steele | Emergency Medicine | Ukcmc Gme, 800 Rose St., Hq-101, Lexington, KY 40536-0293 | 2011-03-09 |
| 1720309859 | Sama Ghali | Emergency Medicine | 1000 South Limestone Street, Lexington, KY 40536 | 2010-06-11 |
| 1336468883 | Joseph Sung-hyun Kim | Emergency Medicine | Chandler Medical Ctr Rm M-53, 800 Rose Street, Lexington, KY 40536-0298 | 2010-05-24 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY WAYNE 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.