HEATHER ELIZABETH CARROLL (NPI# 1902246689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902246689 |
| Entity Type | Individual |
| Full Name | HEATHER ELIZABETH CARROLL |
| Other Name | HEATHER ELIZABETH PAYTER |
| Credential | D.O. |
| Practice Address |
4100 Park Forest Dr Ste 208 Traverse City MI 49684-7306 |
| Practice Telephone | 2319355710 |
| Mailing Telephone | 2319355710 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101020508 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
5101020508 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497165 | Heather Jo Carroll | Occupational Therapist | 5021 Mercer University Dr Ste D2, Macon, GA 31210-6228 | 2018-05-14 |
| 1912033101 | Heather Carroll | Massage Therapist | 1241 E River Rd, Avon, NY 14414-9539 | 2007-02-24 |
| 1396301826 | Heather Elizabeth Carroll | Counselor | 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 | 2019-05-09 |
| 1891239414 | Heather Carroll | Social Worker | 287 Middlesex Ave, Medford, MA 02155-5056 | 2016-12-16 |
| 1023550704 | Heather Nicole Carroll | Nurse Practitioner | 75 Pringle Way, Suite 512, Reno, NV 89502-1464 | 2016-11-10 |
| 1366802209 | Heather Carroll | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2016-03-04 |
| 1689071367 | Heather Colleen Carroll | Specialist/Technologist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2014-11-25 |
| 1346649688 | Heather Carroll | Assisted Living Facility | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2014-08-21 |
| 1750661260 | Heather Carroll | Nurse Practitioner | 140 Main St, Prospect Hill, NC 27314-9436 | 2011-08-29 |
| 1376853184 | Heather Anne Carroll | Occupational Therapist | 1008 Hwy 25 B, Heber Springs, AR 72543 | 2010-10-14 |
| Street Address |
4100 PARK FOREST DR STE 208 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316039142 | Jeffrey Howard Goldman | Internal Medicine | 4100 Park Forest Dr., Suite 208, Traverse City, MI 49684 | 2006-09-29 |
| 1508989633 | Eugene Zolotarevsky | Internal Medicine | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-04-06 |
| 1013048057 | John P Milliken | Internal Medicine | 224 Circle Dr, Traverse City, MI 49684-2342 | 2007-03-09 |
| 1427119429 | Rex Antinozzi | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-12-13 |
| 1851467641 | Kurt Sanford | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1205902095 | Montgomery John Hegewald | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1023184819 | Mark V Galan | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1225104011 | Digestive Health Associates of Northern Michigan, P.C. | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1497821284 | Robert E Barnes Jr. | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1659376077 | Northern Michigan Gastroenterology Plc | Internal Medicine | 224 Circle Dr, Traverse City, MI 49684-2342 | 2005-06-14 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on HEATHER ELIZABETH 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.