DR. RICHARD CARROLL (NPI# 1932150711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932150711 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CARROLL |
| Credential | MD |
| Practice Address |
460 Quail Ridge Dr Westmont IL 60559-6145 |
| Mailing Address |
Po Box 7009 Bolingbrook IL 60440-7009 |
| Practice Telephone | 7082458071 |
| Practice Fax Number | 7082455642 |
| Mailing Telephone | 7082458071 |
| Mailing Fax Number | 7082455642 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36074896 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036074896 | 05 | |
| IL | MEDICARE PTAN | 399690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093162877 | Richard Carroll Jr. | Pharmacist | 1241 Warwood Ave, Wheeling, WV 26003-7129 | 2016-05-20 |
| 1689098741 | Richard Gerard Carroll | Pharmacist | 6609 Hagen Blvd, El Cerrito, CA 94530-1716 | 2014-02-10 |
| 1447682489 | Richard Carroll | Social Worker | 606 Main St., Limon, CO 80828 | 2013-08-01 |
| 1841481389 | Richard Wayne Carroll Jr. | Counselor | 320 Sword Street, Lebanon, VA 24266 | 2007-08-08 |
| 1407828007 | Richard Paul Carroll | Specialist | 4887 E Lake Harriet Blvd, Minneapolis, MN 55419-5222 | 2006-02-07 |
| 1922011766 | Richard E Carroll | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2006-08-14 |
| 1558382952 | Richard Neville Carroll | Psychologist | 1700 Whitehorse Hamilton Square Rd, Suite B-5, Hamilton Square, NJ 08690-3536 | 2006-07-21 |
| 1881657427 | Richard Carroll | Psychologist | 446 E Ontario St, #7-100, Chicago, IL 60611-4418 | 2006-04-06 |
| 1306821491 | Richard Carroll | Pediatrics | 725 Glenwood Dr, Suite E-882, Chattanooga, TN 37404-1163 | 2005-12-12 |
| 1619966744 | Richard Peyton Carroll Jr. | Family Medicine | 14508 Ne 20th Ave, Suite 102, Vancouver, WA 98686-6424 | 2005-10-20 |
| Street Address |
460 QUAIL RIDGE DR |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-6145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357282 | Courtney Rulynn Southwood | Dietitian, Registered | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2017-06-29 |
| 1194068700 | Paula R Barnes | Family Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2013-04-02 |
| 1740586924 | Elizabeth Ann O'malley | Dietitian, Registered | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2011-02-04 |
| 1497995872 | Anthony M Auriemma Md Sc | Family Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2009-02-25 |
| 1386884039 | My Md Sc | Family Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2009-02-20 |
| 1568585958 | Anthony M Auriemma Md Sc | Family Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2007-04-09 |
| 1134164213 | Adventist Health Partners, Inc | Internal Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2006-06-20 |
| 1578507562 | Anthony M Auriemma | Family Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1134164213 | Adventist Health Partners, Inc | Internal Medicine | 460 Quail Ridge Dr, Westmont, IL 60559-6145 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
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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.