Kelly N Carroll (NPI# 1063815645, PAC ID# 9436371036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1063815645 |
| PAC ID by PECOS | 9436371036 |
| Professional Enrollment ID | I20141115000308 |
| Full Name | Kelly N Carroll |
| Organization Legal Name | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Address |
1045 W Stephenson St Freeport IL 61032-4864 |
| Phone Number | 8155996000 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5597668004 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| 140012 | KATHERINE SHAW BETHEA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1045 W Stephenson St, Freeport, IL 61032-4864 | 8155996000 | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| 1016 Featherstone Rd, Rockford, IL 61107-5902 | 8152263300 | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| 1401 E State St, Rockford, IL 61104-2315 | 8159684400 | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| 5666 E State St, Rockford, IL 61108-2425 | 8152262000 | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Organization Legal Name | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lenny G Kizhakepunnur | Anesthesiology | Rockford Anesthesiologists Associated LLC | 1625 S State St, Belvidere, IL 61008-5907 |
| Molly M Kelly | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Agata Reja | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1016 Featherstone Rd, Rockford, IL 61107-5902 |
| Vincent J Quinlan | Anesthesiology | Rockford Anesthesiologists Associated LLC | 900 N 2nd St, Rochelle, IL 61068-1764 |
| Nathaniel J Schwartz | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Esther R Feder | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Rita K Bramley | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Daniel B Claunch | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Lisa P Solomon | Anesthesiology | Rockford Anesthesiologists Associated LLC | 1625 S State St, Belvidere, IL 61008-5907 |
| Judith A Schmidt | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Street Address |
1045 W STEPHENSON ST |
| City | FREEPORT |
| State | IL |
| Zip | 61032-4864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Geller | Infectious Disease | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Shokry S Tawfik | Family Medicine | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Irene Graziani | Hospitalist | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Min Yu | Pathology | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Arshad R Shaikh | Hematology/oncology | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Maajid M Ekkiswala | Hospitalist | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Daniel B Claunch | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Joseph Rudolph Pale | Emergency Medicine | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Lucio J Martinez | Hospitalist | Freeport Memorial Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Kevin D Draxinger | Orthopedic Surgery | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon K Lizer | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Elizabeth Myers | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Michael Robert Perry | Internal Medicine | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Danielle E Siedschlag | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Farouk F Isawi | Gynecological Oncology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Sara E Smith | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Linda H Holt | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Seema Kumar | Neurology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Ruhee K Sidhu | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Keith R Martin | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Find all physicians in zip 61032 | |||
| City | FREEPORT |
| Zip Code | 61032 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FREEPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kelly N 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.