DR. LESLIE F CARROLL (NPI# 1700872462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700872462 |
| Entity Type | Individual |
| Full Name | DR. LESLIE F CARROLL |
| Credential | MD |
| Practice Address |
501 6th Ave S St Petersburg FL 33701-4634 |
| Mailing Address |
501 6th Ave S Box 6941 St Petersburg FL 33701-4634 |
| Practice Telephone | 7277674243 |
| Practice Fax Number | 7277678612 |
| Mailing Telephone | 7277674429 |
| Mailing Fax Number | 7277674970 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME98106 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD041783L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000113100 | 05 | |
| CIGNA | 9217007 | 01 | |
| AETNA | 4254661 | 01 | |
| FL | BC/BS | 91022 | 01 |
| PA | 001210693 | 05 | |
| STAYWELL/HEALTHEASE | 471557 | 01 | |
| AVMED | 323324 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904522 | Leslie Tatum Carroll | Specialist/Technologist | 1809 Victory Ave, Wichita Falls, TX 76301-6020 | 2016-11-08 |
| 1417926445 | Leslie Seton Carroll | Emergency Medicine | 3401 N Broad Street, Philadelphia, PA 19140 | 2006-03-14 |
| 1255994166 | Leslie Carroll | Nurse Practitioner | 700 W Forest Ave Ste 200, Jackson, TN 38301-3940 | 2019-04-16 |
| 1265751770 | Leslie Ann Carroll | Dentist | 1428 W Hebron Pkwy, Suite #140, Carrollton, TX 75010-6345 | 2010-05-24 |
| 1811106701 | Leslie Carroll | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2007-05-21 |
| Street Address |
501 6TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152378 | James M Anderson | Radiology | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2005-05-24 |
| 1104434737 | Sarah Walker Beyrouti | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-07-20 |
| 1689291643 | Katie Kauffman | Registered Nurse | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-06-25 |
| 1992326086 | Amber Renee Daigle | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-30 |
| 1336769256 | Phung Baxter | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-21 |
| 1891314878 | Elizabeth Cunningham | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-10 |
| 1780212860 | Kassey Wash | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-01 |
| 1083242200 | Matthew James Hamilton | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-01 |
| 1932737442 | Emily Zander | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-03-30 |
| 1114555893 | Madhuri Prasad | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104209758 | Jan S Bender Md, Pllc | Pediatrics | 6449 38th Ave N Ste G4, St Petersburg, FL 33710-1643 | 2015-07-01 |
| 1679821219 | Valerie Ann Cruz Flores | Pediatrics | 501 6th Ave S Ste 3100, St Petersburg, FL 33701-4634 | 2012-08-29 |
| 1932419074 | Elinor Miranda | Pediatrics | 3551 42nd Ave S, Ste 101, St Petersburg, FL 33711-4369 | 2010-10-07 |
| 1245465186 | Rhiannon Hickok | Pediatrics | 601 5th St S Ste 501, St Petersburg, FL 33701-4804 | 2009-05-21 |
| 1346495181 | Jorge Santiago Vidal | Pediatrics | 2096 Iowa Ave Ne, St Petersburg, FL 33703-3428 | 2008-11-20 |
| 1881854693 | Thien Trang Thi Tran | Pediatrics | 2701 54th Ave S, St Petersburg, FL 33712-4776 | 2008-06-15 |
| 1396919510 | Susan Darlyne Dibs | Pediatrics | 501 6th Ave S Dept, St Petersburg, FL 33701-4634 | 2008-04-18 |
| 1316152713 | Stephen G. Nelson, M.d., Pa | Pediatrics | 5601 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1205 | 2007-05-11 |
| 1649482001 | Boyd J Mullholand | Pediatrics | 2243 Mermaid Pt Ne, St Petersburg, FL 33703-3441 | 2007-05-05 |
| 1720101397 | Elizabeth Marie Brennan | Pediatrics | 601 5th St S Dept 6941, St Petersburg, FL 33701 | 2007-04-09 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on DR. LESLIE F 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.