Kerry Donley Mccarroll (NPI# 1568448181, PAC ID# 8820170053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568448181 |
| PAC ID by PECOS | 8820170053 |
| Professional Enrollment ID | I20101103000281 |
| Full Name | Kerry Donley Mccarroll |
| Organization Legal Name | ONE MEDIC LANE PHYSICIANS PLLC |
| Address |
1100 Smith Dr Alvin TX 77511-5562 |
| Phone Number | 2813310082 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082660600 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450617 | CLEAR LAKE REGIONAL MEDICAL CENTER |
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1100 Smith Dr, Alvin, TX 77511-5562 | 2813310082 | ONE MEDIC LANE PHYSICIANS PLLC |
| Organization Legal Name | ONE MEDIC LANE PHYSICIANS PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Ellen Sload-parker | Physician Assistant | One Medic Lane Physicians Pllc | 1100 Smith Dr, Alvin, TX 77511-5562 |
| Street Address |
1100 SMITH DR |
| City | ALVIN |
| State | TX |
| Zip | 77511-5562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Ellen Sload-parker | Physician Assistant | One Medic Lane Physicians Pllc | 1100 Smith Dr, Alvin, TX 77511-5562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tuyen P Tran | Optometry | 400s Bypass Hwy 35, Alvin, TX 77511 | |
| Dale L Messer | Family Medicine | 711 W Sidnor St, Alvin, TX 77511-2168 | |
| Syed Zaidi | Psychiatry | 110 S Gordon St, Focus Psychiatry, Alvin, TX 77511-2333 | |
| Agnes Gwaro | Nurse Practitioner | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Janee Stokes | Nurse Practitioner | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Lucia Diep-xuan Tran | Physician Assistant | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Valentina Villarreal | Nurse Practitioner | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Carmen Garcia-garza | Nurse Practitioner | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Isaac Dike | Nurse Practitioner | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Sherrell Gibson | Nurse Practitioner | Stephen F. Austin Community Health Center, Inc. | 1111 W Adoue St, Adoue Family Health Center, Alvin, TX 77511-2718 |
| Find all physicians in zip 77511 | |||
| City | ALVIN |
| Zip Code | 77511 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALVIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kerry Donley Mccarroll.
| 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.