ELAINE MARIE CARROLL (NPI# 1598739492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598739492 |
| Entity Type | Individual |
| Full Name | ELAINE MARIE CARROLL |
| Credential | MD |
| Practice Address |
100 Navarre Pl Ste 4410 South Bend IN 46601 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746471650 |
| Practice Fax Number | 5746471655 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 36085505 | IL | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
01076901A | IN | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
036085505 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085505 | 05 | |
| IN | 200265610 | 05 | |
| IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
| IN | MEDICARE PTAN | 181980007 | 01 |
| IL | MEDICARE PTAN (INDIVIDUAL) | 206147098 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11123 Parkview Plaza Dr, Ste 203, Fort Wayne, IN 468451707 | 2602668380 | 2602668385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309418 | Elaine Carroll | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2012-10-01 |
| 1104926922 | Elaine Mary Carroll | Psychiatry & Neurology | 10,000 Bay Pines Blvd, Bay Pines, FL 33744-5005 | 2006-09-22 |
| Street Address |
100 NAVARRE PL STE 4410 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045728 | Michael Christopher Zinsmeister | Genetic Counselor, MS | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2020-08-25 |
| 1851810303 | Angela Marie Faulkner | Nurse Practitioner | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2017-09-15 |
| 1598798779 | Micaela Della Torre | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2006-07-09 |
| 1710939608 | Beacon Medical Group, Inc. | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2006-05-17 |
| 1881678308 | Deborah Gail Skannal | Specialist | 100 Navarre Pl Ste 4410, South Bend, IN 46601 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1710939608 | Beacon Medical Group, Inc. | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2006-05-17 |
| 1134194459 | Kurt H Stiver | Obstetrics & Gynecology | 100 Navarre Pl, South Bend, IN 46601-1156 | 2006-02-21 |
| 1225026669 | Willie Lee Donald | Obstetrics & Gynecology | 100 Navarre Pl, Ste. 4410, South Bend, IN 46601-1156 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144580150 | Saint Joseph Regional Medical Center - South Bend Campus, Inc. | Obstetrics & Gynecology | 611 E Douglas Rd, Ste 406, Family Medicine Faculty Physicians, Mishawaka, IN 46545-1468 | 2012-05-23 |
| 1225296247 | Karenrose R Contreras | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 3100, Newburgh, IN 47630-8940 | 2008-05-27 |
| 1720100357 | Amy Renee Rouse-ho | Obstetrics & Gynecology | 2600 Roosevelt Rd Ste 200-6, Valparaiso, IN 46383-0971 | 2007-04-04 |
| 1265511323 | Regina Elizabeth Auth | Obstetrics & Gynecology | Saint Marys Medical Ctr, 3700 Washington Avenue, Evansville, IN 47750-0001 | 2006-11-02 |
| 1912081811 | Thomas A Losure | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 204, Fort Wayne, IN 46845-1707 | 2006-10-25 |
| 1023046588 | Alan M Golichowski | Obstetrics & Gynecology | 8091 Township Line Rd Ste 108, Indianapolis, IN 46260-2495 | 2006-06-30 |
| 1467488734 | Julie S Platt | Obstetrics & Gynecology | 11123 Parkview Plaza Dr., Suite 202, Fort Wayne, IN 46845 | 2006-06-25 |
| 1629011424 | Clayton Brennan Fitzpatrick | Obstetrics & Gynecology | 4199 Gateway Blvd., Suite 3100, Newburgh, IN 47630 | 2006-06-13 |
| 1497236103 | Obstetrix Medical Group of Indiana, P.C. | Obstetrics & Gynecology | 8091 Township Line Rd Ste 108, Indianapolis, IN 46260-2495 | 2018-08-22 |
| 1699074237 | Spencer Gregory Kuper | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 3100, Newburgh, IN 47630-7906 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.