Jeffrey Carroll (NPI# 1255360897, PAC ID# 3577477512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1255360897 |
| PAC ID by PECOS | 3577477512 |
| Professional Enrollment ID | I20031114000251 |
| Full Name | Jeffrey Carroll |
| Organization Legal Name | MOVEMENT ORTHOPEDICS |
| Address |
43475 Dalcoma Dr Suite 160 Clinton Township MI 48038-3591 |
| Phone Number | 5864363785 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8022308477 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 36500 S Gratiot Ave, 102 Multispecialties, Clinton Township, MI 48035-1772 | 5867909003 | MCLAREN MACOMB |
| 43475 Dalcoma Dr, Suite 160, Clinton Township, MI 48038-3591 | 5864363785 | MOVEMENT ORTHOPEDICS |
| 1000 Harrington St, Mount Clemens, MI 48043-2920 | 5864938000 | MCLAREN MACOMB |
| Organization Legal Name | MOVEMENT ORTHOPEDICS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Mundt | Nurse Practitioner | Movement Orthopedics | 43475 Dalcoma Dr, Suite 160, Clinton Township, MI 48038-3591 |
| Ashley L Bowden | Nurse Practitioner | Movement Orthopedics | 43475 Dalcoma Dr, Suite 160, Clinton Township, MI 48038-3591 |
| Robert D Swift | Orthopedic Surgery | Movement Orthopedics | 43475 Dalcoma Dr, Suite 160, Clinton Township, MI 48038-3591 |
| Street Address |
43475 DALCOMA DR SUITE 160 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48038-3591 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy C Groves | Certified Registered Nurse Anesthetist (crna) | Macomb Anesthesia PC | 43475 Dalcoma Dr, Suite 100, Clinton Township, MI 48038-3593 |
| Dominick Lago Jr. | Anesthesiology | Lakeside Anesthesia Associates Pllc | 43475 Dalcoma Dr, Suite 100, Clinton Township, MI 48038-3593 |
| Robert P Farhat | Physical Medicine and Rehabilitation | University Neurosurgical Associates, PC | 43475 Dalcoma Dr, Suite 150, Clinton Township, MI 48038-3594 |
| Teresa E Kay | Certified Registered Nurse Anesthetist (crna) | Macomb Anesthesia PC | 43475 Dalcoma Dr, Suite 100, Clinton Township, MI 48038-3593 |
| Jeffrey Yeamans | Urology | Michigan Healthcare Professionals PC | 43475 Dalcoma Dr, Suite 140, Clinton Township, MI 48038-3593 |
| Jeffrey Mundt | Nurse Practitioner | Movement Orthopedics | 43475 Dalcoma Dr, Suite 160, Clinton Township, MI 48038-3591 |
| Todd G Campbell | Urology | Michigan Healthcare Professionals PC | 43475 Dalcoma Dr, Suite 140, Clinton Township, MI 48038-3593 |
| Adam G Puszczewicz | Physical Therapy | Movement Physical Therapy LLC | 43475 Dalcoma Dr, Suite 140, Clinton Twp, MI 48038-3593 |
| Heather N Capinjola | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 |
| Cheri M Cartwright | Certified Registered Nurse Anesthetist (crna) | Macomb Anesthesia PC | 43475 Dalcoma Dr, Suite 100, Clinton Township, MI 48038-3593 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CLINTON TOWNSHIP + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jeffrey Carroll.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.