DR. JOSEPH THOMAS CARROLL (NPI# 1588918205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588918205 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH THOMAS CARROLL |
| Credential | MD |
| Practice Address |
1701 W Charleston Blvd Ste 400 Las Vegas NV 89102 |
| Mailing Address |
221 Michigan St Ne Ste 200a Mail Code 106 Grand Rapids MI 49503-2543 |
| Practice Telephone | 7026715150 |
| Practice Fax Number | 7023859399 |
| Mailing Telephone | 6163911405 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301100859 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
17312 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1588918205 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 Michigan St Ne Ste 200a, Mail Code 106, Grand Rapids, MI 495032543 | 6163911405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780143289 | Joseph Dalton Carroll | Student in an Organized Health Care Education/Training Program | 4350 Boca Woods Dr, Orlando, FL 32826-2612 | 2019-03-14 |
| 1316317167 | Joseph Ryne Carroll | Pharmacist | 200 Rockcastle Rd, Inez, KY 41224-8655 | 2015-10-05 |
| 1598041261 | Joseph Brian Carroll | Registered Nurse | 396 N Magnolia Ave, El Cajon, CA 92020-3908 | 2011-10-26 |
| 1306478649 | Joseph Carroll | Physician Assistant | 339 N Route 73, Berlin, NJ 08009-9707 | 2020-02-05 |
| 1851673420 | Joseph Charles Carroll Iv | Anesthesiology | 615 N Michigan St, South Bend, IN 46601-1087 | 2011-09-09 |
| 1609839075 | Joseph Edgar Carroll | Family Medicine | 1644 Central Ave, Mckinleyville, CA 95519-4342 | 2006-04-07 |
| 1104807437 | Joseph Carroll | Physical Therapist | 800 Route 28, Summerfield Park, Mashpee, MA 02649-3303 | 2005-11-14 |
| Street Address |
1701 W CHARLESTON BLVD STE 400 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415542 | Evan Joseph Childers | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2020-04-13 |
| 1730708678 | Shanthan Chowdary Challa | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2020-04-10 |
| 1952930679 | Justin Zachary Peoples | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2020-04-04 |
| 1376171793 | Spencer Schulte | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2020-03-31 |
| 1841826765 | Ana Gayle Weatherly Christian | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2020-03-23 |
| 1033672241 | Penelope Anne Herder | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2019-04-13 |
| 1629531074 | Brigham Bahr | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2019-04-12 |
| 1922560887 | Sarah Katchen | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2019-04-01 |
| 1609365501 | Ty Conrad Olson | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2018-05-07 |
| 1922596584 | Gabriela Marie Doyle | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2320 | 2018-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679631220 | J Sherman Tate Md Ltd | Surgery | 501 South Rancho Drive, Suite E-32, Las Vegas, NV 89106-4833 | 2006-12-05 |
| 1821450545 | Southern Nevada Bariatrics Mustafa Ahmed Md Facs Pllc | Surgery | 3599 S Eastern Ave, Las Vegas, NV 89169-3344 | 2016-03-22 |
| 1780662569 | Deborah A Kuhls | Surgery | 1707 W Charleston Blvd, #160, Las Vegas, NV 89102-2351 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316380389 | Lisa M Angotti | Surgery | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2013-04-09 |
| 1760409783 | Gomez Kozar Mcelreath and Smith Professional Corporation | Surgery | 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 | 2006-07-16 |
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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.