JENNIFER CARROLL (NPI# 1639199797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639199797 |
| Entity Type | Individual |
| Full Name | JENNIFER CARROLL |
| Credential | M.D. |
| Practice Address |
322 Lake Ave Rochester NY 14608-1017 |
| Mailing Address |
480 Genesee St Rochester NY 14611-3634 |
| Practice Telephone | 5852546480 |
| Practice Fax Number | 5852541092 |
| Mailing Telephone | 5852546480 |
| Mailing Fax Number | 5852541092 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 214505 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 103401BF | 01 |
| NY | 214505 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174143689 | Jennifer Elaine Carroll | Specialist/Technologist | 4314 12th Ave N, St Petersburg, FL 33713-5218 | 2020-04-24 |
| 1134789530 | Jennifer Carroll | Genetic Counselor, MS | 700 Childrens Dr Rm E1b, Columbus, OH 43205-2639 | 2019-06-18 |
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1447697727 | Jennifer Carroll | Specialist/Technologist | 44385 State Route 154, Lisbon, OH 44432-8336 | 2013-05-28 |
| 1689983942 | Jennifer D Carroll | Pharmacist | 10 Centerline Dr, Troy, MO 63379-1393 | 2010-10-04 |
| 1487890067 | Jennifer Carroll | Licensed Practical Nurse | 320 Carnegie Ave, Wenonah, NJ 08090-1410 | 2009-01-02 |
| 1659413573 | Jennifer Deann Carroll | Registered Nurse | 1 Mile N of Pinon On Navajo Rte 41, Pinon, AZ 86510 | 2007-02-14 |
| 1831263128 | Jennifer M Carroll | Counselor | 2667 Highway 145, Saltillo, MS 38866-9771 | 2006-11-20 |
| 1134299530 | Jennifer Carroll | Massage Therapist | 121 Butternut St Apt A, Middletown, CT 06457-3020 | 2006-11-09 |
| 1962441790 | Jennifer Elizabeth Carroll | Physical Therapist | 2625 Plymouth Rd, Ann Arbor, MI 48105-2468 | 2006-06-06 |
| Street Address |
322 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316963440 | Terri Ragin | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1017 | 2006-07-14 |
| 1174146435 | Kyle Andrews | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1162 | 2020-05-21 |
| 1255997581 | Kaitlyn Erin Kennedy | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1162 | 2019-05-13 |
| 1558879916 | Theresa Mcqueen | Dental Hygienist | 322 Lake Ave, Rochester, NY 14608-1162 | 2018-01-18 |
| 1487162533 | Colleen Obrien | Dietitian, Registered | 322 Lake Ave, Rochester, NY 14608-1162 | 2018-01-10 |
| 1659805026 | Nina Piazza | Family Medicine | 322 Lake Ave, Rochester, NY 14608-1162 | 2017-04-12 |
| 1710345384 | Sylvia Ann Johnson | Social Worker | 322 Lake Ave, Rochester, NY 14608-1162 | 2016-02-10 |
| 1962872812 | Amer Ali Musleh | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1162 | 2015-10-05 |
| 1205240181 | Shawn Fellows | Pharmacist | 322 Lake Ave, Rochester, NY 14608-1162 | 2014-06-18 |
| 1023437704 | Branko Matich | Family Medicine | 322 Lake Ave, Rochester, NY 14608-1162 | 2014-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| Find all providers in zip 14608 | ||||
| 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 |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1982132635 | Stephanie Parvan | Family Medicine | 1100 Long Pond Rd Ste 250, Rochester, NY 14626-1186 | 2017-05-25 |
| 1659804169 | Natasha Vadera | Family Medicine | Highland Family Medicine 777 S Clinton Ave, Rochester, NY 14642-0001 | 2017-04-11 |
| 1467804203 | Izabela Teresa Subczynska | Family Medicine | 454 E Broad St Ste 100, Rochester, NY 14607-1724 | 2016-07-05 |
| 1720433345 | Jerry Kong | Family Medicine | 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 | 2016-05-02 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1851705628 | Resika Ubayawardena | Family Medicine | 222 Alexander St, Ste 5000, Genesee Internal Medicine At Alexander Park, Rochester, NY 14607-4039 | 2014-06-19 |
| 1942613344 | Lishan Jhanealle Walker | Family Medicine | 10 S Pointe Lndg Ste 210, Rochester, NY 14606-3481 | 2014-06-04 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on JENNIFER CARROLL.
| 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.