KATHERINE ANN CARROLL (NPI# 1083955660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083955660 |
| Entity Type | Individual |
| Full Name | KATHERINE ANN CARROLL |
| Credential | PA-C |
| Practice Address |
20 Hicksville Rd Suite 2 Massapequa NY 11758-5819 |
| Practice Telephone | 5167997500 |
| Practice Fax Number | 5167992075 |
| Mailing Telephone | 5167997500 |
| Mailing Fax Number | 5167992075 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009545-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1992201289 | Katherine Carroll | Social Worker | 6802 Deland Dr, Springfield, VA 22152-3009 | 2018-04-04 |
| 1720569791 | Katherine Elizabeth Carroll | Dietitian, Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-08-27 |
| 1871073130 | Katherine Carroll | Speech-Language Pathologist | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-08-16 |
| 1871917898 | Katherine Carroll | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2014-02-11 |
| 1982045498 | Katherine Carroll | Family Medicine | 52 W 8th St, New York, NY 10011-9092 | 2013-07-12 |
| 1629357173 | Katherine E Carroll | Nurse Anesthetist, Certified Registered | 4511 Southlake Pkwy, Hoover, AL 35244-3238 | 2011-08-15 |
| 1700035920 | Katherine B Carroll | Physician Assistant | 3333 Burnet Ave, Neurosurgery Ml 2016, Cincinnati, OH 45229-3026 | 2008-09-11 |
| 1689795122 | Katherine Carroll | Psychiatry & Neurology | 233 E Erie St, Suite 500, Chicago, IL 60611-2926 | 2007-04-03 |
| Street Address |
20 HICKSVILLE RD SUITE 2 |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343871 | Mital B. Patel | Podiatrist | 20 Hicksville Rd, Massapequa, NY 11758-5819 | 2006-07-06 |
| 1952812406 | Alyse Kathleen Middenorf | Social Worker | 20 Hicksville Rd, Massapequa, NY 11758-5819 | 2017-10-23 |
| 1972956332 | Lock and Key Therpay, Lcsw, Pllc | Social Worker | 20 Hicksville Rd, Suite 5, Massapequa, NY 11758-5819 | 2016-07-20 |
| 1619325032 | Winthrop Community Medical Affiliates, P.C. | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2016-05-26 |
| 1457735094 | South Shore Podiatry, Pllc | Podiatrist | 20 Hicksville Rd, Suite 2, Massapequa, NY 11758-5819 | 2015-07-14 |
| 1023393493 | Robert Mucciolo Md PC | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2011-10-18 |
| 1720253487 | Marjorie J Isdith Do PC | Family Medicine | 20 Hicksville Rd, Suite 5, Massapequa, NY 11758-5819 | 2008-04-24 |
| 1952587891 | Jennie Lee Faraci | Social Worker | 20 Hicksville Rd, Suite 5, Massapequa, NY 11758-5819 | 2008-01-10 |
| 1003940248 | Peconic Urology P.C. | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2007-03-16 |
| 1245334473 | Robert L Mucciolo | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304778 | Shannon Paige Batt | Physician Assistant | 153 Massachusetts Ave, Massapequa, NY 11758-4111 | 2019-09-09 |
| 1386100303 | Ryan Rommel | Physician Assistant | 662 Franklin Ave, Massapequa, NY 11758-4137 | 2019-02-14 |
| 1588182513 | Michael Guzzardi | Physician Assistant | 56 Margaret Rd, Massapequa, NY 11758-1901 | 2017-08-30 |
| 1942625702 | Kristen Marie Kotak | Physician Assistant | 193 Baltimore Ave, Massapequa, NY 11758-4229 | 2014-03-03 |
| 1083924112 | Matthew Joseph Valvo | Physician Assistant | 22 Harrison Ave, Massapequa, NY 11758-7908 | 2010-10-07 |
| 1831335090 | Erica Harris | Physician Assistant | 4160 Merrick Rd Ste A, Massapequa, NY 11758-6027 | 2008-12-18 |
| 1518184290 | Marie A. Lobuglio | Physician Assistant | 5 South Bay Ave, Massapequa, NY 11758 | 2007-04-20 |
| 1588712699 | Suzanne Nicole Fanelli | Physician Assistant | 18 Swan Dr, Massapequa, NY 11758-7929 | 2007-01-08 |
| 1932185972 | Eric S. Seigel | Physician Assistant | 200 Old Sunrise Hwy, Massapequa, NY 11758-5545 | 2005-12-21 |
| 1073149811 | Vinci Mathew | Physician Assistant | 95 Grand Ave, Massapequa, NY 11758-4905 | 2020-03-12 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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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.