CARROLL CLINICAL CONSULTING PLLC (NPI# 1588066203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588066203 |
| Entity Type | Organization |
| Organization Name | CARROLL CLINICAL CONSULTING PLLC |
| Practice Address |
81 Medical Center Dr Ste 1300 Brunswick ME 04011-2764 |
| Practice Telephone | 2078448752 |
| Practice Fax Number | 2072211308 |
| Mailing Telephone | 2078448752 |
| Mailing Fax Number | 2072211308 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | MATTHEW W CARROLL (SOLE PROPRIETER) |
| Authorized Official Telephone | 2078448752 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
81 MEDICAL CENTER DR STE 1300 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518144 | Jessica L Buckner | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
| 1598130411 | Rebecca Howe | Dietitian, Registered | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2015-12-03 |
| 1780095786 | Claire Ross | Nurse Practitioner | 81 Medical Center Dr, Suite 2150, Brunswick, ME 04011-2764 | 2014-05-13 |
| 1104122936 | Michael David Kipp | Assistant, Podiatric | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2764 | 2011-01-26 |
| 1174764146 | Angela M. Perron Dpm Pa | Podiatrist | 81 Medical Center Dr, Suite 1150, Brunswick, ME 04011-2690 | 2009-03-20 |
| 1871767699 | Alison R Fernald | Nutritionist | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2008-04-14 |
| 1699974097 | Jared T Wilkinson | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2007-07-16 |
| 1770703811 | Kristen Jane Schroeder-cyr | Nurse Practitioner | 81 Medical Center Dr, Suite 2300, Brunswick, ME 04011-2764 | 2007-04-30 |
| 1649312638 | Liana Belle Kelly | Nurse Practitioner | 81 Medical Center Dr, Ste 2200, Brunswick, ME 04011-2765 | 2007-02-13 |
| 1093874893 | William P Stamey | Psychiatry & Neurology | 81 Medical Center Dr, Suite 2400, Brunswick, ME 04011-2764 | 2006-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229435 | Vijay Kakumanu Md LLC | Internal Medicine | 4036 Center Rd Unit B, Brunswick, OH 44212-2945 | 2019-11-16 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| 1477991842 | Lindsey Ackley-pozzessere | Internal Medicine | 22 Station Ave Ste 101, Brunswick, ME 04011-2092 | 2013-06-07 |
| 1578818506 | Natalia V Chaar-tirado | Internal Medicine | 3025 Shrine Rd Ste 150, Brunswick, GA 31520-4784 | 2012-07-16 |
| 1770759789 | Vu Uy Ho | Internal Medicine | 121 Medical Center Dr Ste 3300, Brunswick, ME 04011-2674 | 2008-04-30 |
| 1760669865 | Matthew Edward Certain | Internal Medicine | 2500 Starling St Ste 404, Brunswick, GA 31520-4269 | 2008-01-31 |
| 1730368853 | Dr. David L. Lawson, M.d., P.C. | Internal Medicine | 3204 Shrine Rd, Brunswick, GA 31520-4325 | 2007-10-25 |
| 1326260555 | Stephen Douglas Boyd | Internal Medicine | 331 Maine St Ste 24, Brunswick, ME 04011-3359 | 2007-05-03 |
| 1588788657 | University Primary Care Practices | Internal Medicine | 3812 Center Rd Ste 106, Brunswick, OH 44212-3025 | 2007-03-16 |
| Find all providers in BRUNSWICK | ||||
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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.