DR. STEPHEN MARK CARROLL (NPI# 1649418294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649418294 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MARK CARROLL |
| Credential | DO |
| Practice Address |
80 Jesse Hill Jr Dr Se Department of Emergency Medicine Atlanta GA 30303-3031 |
| Mailing Address |
80 Jesse Hill Jr Dr Se Atlanta GA 30303 |
| Practice Telephone | 4844596359 |
| Mailing Telephone | 4046161000 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 75423 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 02003739A | IN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | P3696 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124369053 | Stephen Paul Carroll | Social Worker | 4089 Fairmount Ave, San Diego, CA 92105-1607 | 2013-03-01 |
| 1578639142 | Stephen M Carroll | Social Worker | 6 Kings Hwy East, Haddonfield, NJ 08033 | 2006-11-27 |
| 1710239389 | Stephen Thomas Carroll | Counselor | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2012-10-08 |
| 1669532008 | Stephen Brent Carroll | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2006-12-08 |
| Street Address |
80 JESSE HILL JR DR SE DEPARTMENT OF EMERGENCY MEDICINE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301830 | Adefisayo Oduwole | Internal Medicine | 80 Jesse Hill Jr Dr Se, Ste 2e, Atlanta, GA 30303-3031 | 2005-07-21 |
| 1598365421 | Warren W Jarrett | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-10-29 |
| 1245830579 | Abigail Walker Murray | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-10-27 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1538775473 | Nebiyu D Muleta | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-16 |
| 1952915431 | Rikita D Patel | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-09-02 |
| 1639782832 | Chaltu Raba | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-26 |
| 1790397172 | Ashley A Bostic | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-18 |
| 1174134050 | Kayla Renee Brown | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1588019368 | Martine Camille | Emergency Medicine | 49 Jesse Hill Jr Dr Se Ste 310, Atlanta, GA 30303-3049 | 2016-04-28 |
| 1124482179 | Caelyn Thea Bellerose | Emergency Medicine | Emory School of Medicine, 100 Woodruff Circle, Suite 327, Atlanta, GA 30322-0001 | 2016-04-06 |
| 1659752442 | Esther Hwang | Emergency Medicine | 531 Asbury Circle Hospital Annex Suite N340, Atlanta, GA 30322-4601 | 2015-06-17 |
| 1699165423 | Metropolitan Acute Care, LLP | Emergency Medicine | 1821 Clifton Road, Northeast, Atlanta, GA 30329-4021 | 2015-02-02 |
| 1164842910 | Emberlynn Liang Liu | Emergency Medicine | 531 Asbury Circle Hospital Annex-suite N340, Atlanta, GA 30322 | 2014-04-20 |
| 1669892618 | Michael J Carr | Emergency Medicine | 531 Asbury Cir Dept Of, Atlanta, GA 30322 | 2014-04-17 |
| 1962820654 | Elijah Robinson IIi | Emergency Medicine | 100 Woodruff Cir Ne Ste 327, Atlanta, GA 30322 | 2014-03-31 |
| 1922426741 | Rutvi Patel | Emergency Medicine | 235 Peachtree Street Ne, North Tower, Suite 2100, Atlanta, GA 30303 | 2014-03-29 |
| 1669816674 | Lisa Denardi | Emergency Medicine | 235 Peachtree St Ne #2100, Atlanta, GA 30303 | 2013-04-20 |
| Find all providers in ATLANTA | ||||
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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.