DR. ROBERT P CARROLL (NPI# 1760486468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760486468 |
| Entity Type | Individual |
| Full Name | DR. ROBERT P CARROLL |
| Credential | M.D. |
| Practice Address |
516 N Mound St Nacogdoches TX 75961-5036 |
| Practice Telephone | 9365644983 |
| Mailing Telephone | 9365644983 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D8677 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 136468905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1336638022 | Robert Carroll II | Marriage & Family Therapist | 2375 Shallowford Rd Ne, Atlanta, GA 30345-1342 | 2018-05-08 |
| 1386906691 | Robert A Carroll | Nurse's Aide | 5080 Daro Dr, Fulton, MO 65251-3871 | 2012-06-12 |
| 1003172545 | Robert Carroll | Specialist | 3938 John F Kennedy Pkwy Unit 11f, Fort Collins, CO 80525-3087 | 2012-04-10 |
| 1255646071 | Robert L Carroll | Pharmacist | 16 Vardon Ln, Greenland, NH 03840-2353 | 2010-08-17 |
| 1033377999 | Robert Earl Carroll | Preventive Medicine | 490 Rock Harbor Way, Westport, NY 12993 | 2008-05-28 |
| 1639388077 | Robert Steven Carroll | Psychiatry & Neurology | 1314 Westwood Bl, #210, Los Angeles, CA 90024 | 2007-05-22 |
| 1922120187 | Robert P Carroll | Dentist | 3452 W Bangs Ave, Neptune, NJ 07753-3012 | 2007-04-06 |
| 1811091846 | Robert M Carroll | Dentist | 406 Kings Hwy S, Cherry Hill, NJ 08034-2511 | 2006-09-11 |
| 1073532800 | Robert Earl Carroll | Dentist | 2935 Bagnell Dam Blvd Ste 102, Lake Ozark, MO 65049-8661 | 2006-07-19 |
| Street Address |
516 N MOUND ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| 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 |
|---|---|---|---|---|
| 1255680674 | Dennis W Coffman M.d. | Family Medicine | 4800 N E Stallings Drive, Suite 111, Nacogdoches, TX 75965-1250 | 2012-08-30 |
| 1821398819 | Toni I. White M.d. P.a. | Family Medicine | 3226 N University Dr, Suite 300, Nacogdoches, TX 75965-2682 | 2010-10-25 |
| 1871801597 | Wilbrun Edward Furniss II | Family Medicine | 4800 Ne Stallings Dr Ste 109, Nacogdoches, TX 75965-1250 | 2010-09-15 |
| 1851543888 | Carey Jynette Lindemann | Family Medicine | 4800a Ne Stallings Dr., Suite 1500, Nacogdoches, TX 75965-1207 | 2008-10-22 |
| 1841418910 | Toni Irene White | Family Medicine | 4848 Ne Stallings Dr Ste 104, Suite 104, Nacogdoches, TX 75965-1256 | 2007-04-23 |
| 1477563898 | Mark A Cline | Family Medicine | 4604 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2006-08-08 |
| 1295760080 | Bryan W Davis | Family Medicine | 129 Creekbend Blvd, Nacogdoches, TX 75965-1781 | 2006-07-11 |
| 1376594044 | Carl Alexander Davis | Family Medicine | 212 Russell Blvd, Nacogdoches, TX 75965-1237 | 2006-05-15 |
| 1093773707 | East Texas Physicians Care Pa | Family Medicine | 1002 Mound St, Nacogdoches, TX 75961-4437 | 2006-05-02 |
| 1740248467 | Olin Kirk Fearing | Family Medicine | 3618 N. University Dr., Nacogdoches, TX 75965 | 2006-05-02 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.