Charles Loyd Carroll (NPI# 1114927373, PAC ID# 9638165012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114927373 |
| PAC ID by PECOS | 9638165012 |
| Professional Enrollment ID | I20040421001514 |
| Full Name | Charles Loyd Carroll |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
4778 S Scatterfield Rd Anderson IN 46013-2908 |
| Phone Number | 7656466331 |
| Gender | M |
| Credential | MD |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
| 151302 | INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL |
| 151301 | ST VINCENT RANDOLPH HOSPITAL INC |
| 150113 | COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 7656466331 | ST VINCENT MEDICAL GROUP INC |
| 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 7653480300 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| 8330 Naab Rd, Indianapolis, IN 46260-1932 | ST VINCENT MEDICAL GROUP INC | |
| 8402 Harcourt Rd, Indianapolis, IN 46260-2056 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Street Address |
4778 S SCATTERFIELD RD |
| City | ANDERSON |
| State | IN |
| Zip | 46013-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Janae Elise Wilson | Physician Assistant | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Courtney R Swenk | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Kevin E Smith | Family Medicine | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Heather Paula Sheets | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Tessa Cecile Palmer | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Stephen Estall Kirkman | Family Medicine | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Daniella Courtney Stafford | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Shelly Jean Roberts | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry D Warthman | Optometry | 1923 W 53rd St, Anderson, IN 46013-1109 | |
| Brett T Krepps | Orthopedic Surgery | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Theresa R Neff | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Ashley Lynne Smith | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Yochana Gavva | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Anne E Conner | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Richard Yomi Aina | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Deena M Heller | Clinical Social Worker | Community Health Network Inc | 3125 S Scatterfield Rd, Suite 200, Anderson, IN 46013-1801 |
| Tabassum Hatimi | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Margaret Malicay | Family Practice | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Find all physicians in zip 46013 | |||
| City | ANDERSON |
| Zip Code | 46013 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ANDERSON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Charles Loyd 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.