RICHARD PEYTON CARROLL JR. (NPI# 1619966744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619966744 |
| Entity Type | Individual |
| Full Name | RICHARD PEYTON CARROLL JR. |
| Credential | D.O. |
| Practice Address |
14508 Ne 20th Ave Suite 102 Vancouver WA 98686-6424 |
| Practice Telephone | 3605749730 |
| Practice Fax Number | 3605767662 |
| Mailing Telephone | 3605749730 |
| Mailing Fax Number | 3605767662 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP00002292 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8499824 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093162877 | Richard Carroll Jr. | Pharmacist | 1241 Warwood Ave, Wheeling, WV 26003-7129 | 2016-05-20 |
| 1689098741 | Richard Gerard Carroll | Pharmacist | 6609 Hagen Blvd, El Cerrito, CA 94530-1716 | 2014-02-10 |
| 1447682489 | Richard Carroll | Social Worker | 606 Main St., Limon, CO 80828 | 2013-08-01 |
| 1841481389 | Richard Wayne Carroll Jr. | Counselor | 320 Sword Street, Lebanon, VA 24266 | 2007-08-08 |
| 1932150711 | Richard Carroll | Internal Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2006-05-15 |
| 1407828007 | Richard Paul Carroll | Specialist | 4887 E Lake Harriet Blvd, Minneapolis, MN 55419-5222 | 2006-02-07 |
| 1922011766 | Richard E Carroll | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2006-08-14 |
| 1558382952 | Richard Neville Carroll | Psychologist | 1700 Whitehorse Hamilton Square Rd, Suite B-5, Hamilton Square, NJ 08690-3536 | 2006-07-21 |
| 1881657427 | Richard Carroll | Psychologist | 446 E Ontario St, #7-100, Chicago, IL 60611-4418 | 2006-04-06 |
| 1306821491 | Richard Carroll | Pediatrics | 725 Glenwood Dr, Suite E-882, Chattanooga, TN 37404-1163 | 2005-12-12 |
| Street Address |
14508 NE 20TH AVE SUITE 102 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-6424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446270 | Lisa Michelle Gibbons | Obstetrics & Gynecology | 14508 Ne 20th Ave, Ste 300, Vancouver, WA 98686-6418 | 2005-06-08 |
| 1386208718 | Sea Mar Community Health Center | Clinic/Center | 14508 Ne 20th Ave, Vancouver, WA 98686-6424 | 2019-05-01 |
| 1134614191 | Lin Tamar Mazor | Registered Nurse | 14508 Ne 20th Ave, Vancouver, WA 98686-6424 | 2018-06-22 |
| 1639688567 | Amira Esseghir | Dentist | 14508 Ne 20th Ave, Vancouver, WA 98686-6424 | 2017-09-22 |
| 1043749674 | Casey Lee Dunning | Registered Nurse | 14508 Ne 20th Ave, Vancouver, WA 98686-6424 | 2017-06-07 |
| 1588190359 | Sea-mar Community Health Center | Clinic/Center | 14508 Ne 20th Ave, Suite 301, Vancouver, WA 98686-6424 | 2017-05-11 |
| 1437511888 | Jonathan Armstrong | Family Medicine | 14508 Ne 20th Ave, Vancouver, WA 98686-6424 | 2016-03-24 |
| 1942560347 | Stella Yee | Obstetrics & Gynecology | 14508 Ne 20th Ave, Suite 300, Vancouver, WA 98686-6424 | 2012-05-21 |
| 1174813158 | Sara Dawn Patt O'dell | Obstetrics & Gynecology | 14508 Ne 20th Ave, Suite 300, Vancouver, WA 98686-6424 | 2011-04-12 |
| 1871770594 | Vancouver Allergy and Asthma Center Pllc | Clinic/Center | 14508 Ne 20th Ave, #200, Vancouver, WA 98686-6418 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851912430 | Martin Braun | Family Medicine | 750 West Broadway, #309, Vancouver, BC V5Z1H2 | 2020-05-05 |
| 1063973329 | James Salzman | Family Medicine | 4637 West 6th Avenue, Vancouver, BRITISH COLUMBIA V6R 1V6 | 2019-03-28 |
| 1144759168 | Ross Tyler Avila | Family Medicine | 505 Ne 87th Ave Ste 260, Vancouver, WA 98664-1965 | 2017-06-05 |
| 1881959765 | Richard Alan Simmons | Family Medicine | 204 Ne 108th St, Vancouver, WA 98685-5259 | 2012-07-07 |
| 1386925592 | Dbenzmdpllc | Family Medicine | 19110 Ne 21st St, Vancouver, WA 98684-0907 | 2011-08-31 |
| 1245557198 | Clifford William Wagner | Family Medicine | 9120 Ne Vancouver Mall Loop, Suite 230, Vancouver, WA 98662-6353 | 2010-04-30 |
| 1396078770 | Erol Dilli | Family Medicine | 517-750 West Broadway, Vancouver, BC V5Z 1H4 | 2009-09-16 |
| 1285866582 | Ester H See-sebastian | Family Medicine | 700 Ne 87th Ave Ste 260, Vancouver, WA 98664-4896 | 2009-08-20 |
| 1689812570 | Heidi Radlinski | Family Medicine | 100 East 33rd Street, Suite 100, Family Medicine - Obstetrics, Vancouver, WA 98663 | 2009-01-30 |
| Find all providers in VANCOUVER | ||||
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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.