DR. RYAN WESLEY CARROLL (NPI# 1821256876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821256876 |
| Entity Type | Individual |
| Full Name | DR. RYAN WESLEY CARROLL |
| Credential | M.D., M.P.H |
| Practice Address |
175 Cambridge St 5th Floor Boston MA 02114-2743 |
| Mailing Address |
4 Emerson Pl Apt 704 Boston MA 02114-2275 |
| Practice Telephone | 6177244380 |
| Practice Fax Number | 6177244391 |
| Mailing Telephone | 7733328178 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
245750 | MA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036-113999 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497274732 | Ryan A Carroll | Physical Therapist | 997 N Corporate Cir Ste B, Grayslake, IL 60030-7822 | 2017-09-19 |
| 1225566409 | Ryan Carroll | Nurse Practitioner | 200 Cedar Ridge Dr Ste 211, Pittsburgh, PA 15205-9692 | 2017-05-31 |
| 1023401155 | Ryan Carroll | Social Worker | 9847 N Central St, Portland, OR 97203-1503 | 2015-03-13 |
| 1538135678 | Ryan Francis Carroll | Physician Assistant | 1900 S Union Ave, Alliance, OH 44601-4355 | 2006-02-28 |
| 1144755190 | Ryan Carroll | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2017-04-27 |
| 1750743613 | Ryan Carroll | Pediatrics | 1460 N Halsted St Ste 402, Chicago, IL 60642-2607 | 2016-03-22 |
| 1386086205 | Ryan Scott Carroll | Case Manager/Care Coordinator | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2013-07-19 |
| 1740366657 | Ryan Joseph Carroll | Specialist/Technologist | 1919 Lake Ave, Suite 111, Plymouth, IN 46563-7830 | 2006-10-31 |
| Street Address |
175 CAMBRIDGE ST 5TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171101 | George H Theodore | Orthopaedic Surgery | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2005-08-12 |
| 1134614738 | Allison Marie Caravana-lilly | Social Worker | 175 Cambridge St, Boston, MA 02114-2743 | 2018-06-26 |
| 1366935249 | Lisa Goss Staffiere | Social Worker | 175 Cambridge St, Boston, MA 02114-2743 | 2018-06-14 |
| 1275037343 | Amanda May Heater Tourjee | Nurse Practitioner | 175 Cambridge St, Boston, MA 02114-2743 | 2018-03-22 |
| 1184139677 | Angela Kristen Stearns | Physical Therapy Assistant | 175 Cambridge St, Boston, MA 02114-2743 | 2017-12-06 |
| 1215389879 | Nikolaos Paschos | Orthopaedic Surgery | 175 Cambridge St, Boston, MA 02114 | 2016-07-07 |
| 1447621305 | Dana Jill Hindman | Physical Therapist | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2015-10-16 |
| 1366820854 | Melissa Ann Summers | Orthopaedic Surgery | 175 Cambridge St, Boston, MA 02114-2743 | 2015-05-15 |
| 1063809895 | Jessica Levitsky | Physical Therapy Assistant | 175 Cambridge St, Suite 470, Boston, MA 02114-2743 | 2015-04-20 |
| 1285020990 | Katharine S. Davidoff | Pediatrics | 175 Cambridge St, Boston, MA 02114-2743 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699935 | Colin Meyer-macaulay | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-09-25 |
| 1902303480 | Haley Devries | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2018-04-10 |
| 1194272013 | Cheuk Chung Au | Pediatrics | 300 Longwood Ave, Bader 634, Boston, MA 02115-5724 | 2016-09-08 |
| 1215378435 | Peta-maree Ann Alexander | Pediatrics | Boston Children's Hospital, 300 Longwood Avenue, Cardiology Department, Boston, MA 02115 | 2013-07-16 |
| 1013352277 | Sarah Elyse Hendrickson | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-05-01 |
| 1841556305 | Jane Whitney | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-04-09 |
| 1891061768 | Jennifer Ann Blumenthal | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-03-26 |
| 1679848782 | Daniel Hames | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-03-22 |
| 1912297045 | Ben D Albert | Pediatrics | 300 Longwood Ave, Bader 634 - Critical Care Medicine, Boston, MA 02115-5724 | 2011-04-11 |
| 1033408513 | Mark David Dexter | Pediatrics | 800 Washington St, Boston, MA 02111-1552 | 2011-04-05 |
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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.