INDIRA M CARROLL (NPI# 1609804582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609804582 |
| Entity Type | Individual |
| Full Name | INDIRA M CARROLL |
| Credential | MS, NNP |
| Practice Address |
2600 6th St Sw Canton OH 44710-1702 |
| Mailing Address |
429 Prysi Pkwy Se New Philadelphia OH 44663-9324 |
| Practice Telephone | 3303635433 |
| Mailing Telephone | 3303399815 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
NP08526 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2600 6TH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885142 | Michael W Soehnlen | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2005-07-19 |
| 1881295475 | Gina Marie Shaffo | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1427659051 | Heidi Lynn Martinez | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1215537907 | Travis Paul Gray | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1780284430 | Kelly Marie Mason | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1003414624 | Annie Shelton | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1982202511 | Sean D Myer | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
| 1578177192 | Vyshnavi Iswaravaka | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-09-01 |
| 1124638705 | Varun Victor | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1346208634 | Jennifer Dawn Norch | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093192668 | Brenda Murchison | Nurse Practitioner | 8535 Scenicridge Ave Nw, Clinton, OH 44216-9557 | 2015-05-02 |
| 1588063382 | Amy Jalbuena | Nurse Practitioner | 3173 Strathburn Ct, Dublin, OH 43017-1804 | 2014-08-18 |
| 1861700346 | Mindy Gail Kohsman | Nurse Practitioner | 5618 Harrow Glen Ct, Galena, OH 43021-9069 | 2010-09-19 |
| 1659437523 | Melanie Pepper | Nurse Practitioner | 8117 Loden Ct, Blacklick, OH 43004-9225 | 2006-12-28 |
| 1851461701 | Michele R Cash | Nurse Practitioner | 870 High St Ste 105, Worthington, OH 43085 | 2006-11-08 |
| 1710595525 | Julie Jo Jensen Delfavero | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-07-17 |
| 1316574528 | Jodie Marie Frazier | Nurse Practitioner | 2142 N Cove Blvd Fl 3, Toledo, OH 43606-3895 | 2020-03-26 |
| 1477180370 | Kristen Michelle Uhler | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-03-23 |
| 1922633064 | Adrianna Hayek | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-09 |
| 1669028395 | Katelyn Nicole Stokes | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2019-08-19 |
| 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.