MR. PAUL JEROME CARR JR. (NPI# 1114303401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114303401 |
| Entity Type | Individual |
| Full Name | MR. PAUL JEROME CARR JR. |
| Credential | CPT |
| Practice Address |
5818 Allentown Way Camp Springs MD 20748-2614 |
| Mailing Address |
6019 N Hil Mar Cir Forestville MD 20747-2968 |
| Practice Telephone | 3014047646 |
| Mailing Telephone | 3014047646 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | 18753MD | MD | Other Service Providers |
| Y | 225500000X | Specialist/Technologist | 18753MD | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
18753MD | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| 1972745321 | Paul Carr | Physician Assistant | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | 2009-04-01 |
| Street Address |
5818 ALLENTOWN WAY |
| City | CAMP SPRINGS |
| State | MD |
| Zip Code | 20748-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730551599 | Cory Robinson | Contractor | 5818 Allentown Way, Camp Springs, MD 20748-2614 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579873 | Brightway Professionals and Associates | Clinic/Center | 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 | 2020-02-12 |
| 1235783085 | Jasmine Lenee Carter | Behavior Technician | 5506 Clothier St., Temple Hills, MD 20748 | 2019-07-30 |
| 1649760075 | Livewell Family Clinic LLC | Clinic/Center | 3611 Branch Ave Ste 404, Temple Hills, MD 20748 | 2018-05-10 |
| 1346785474 | Cardinal Health Care Solution LLC | Home Health | 4905 Faith Crossin Ct, Templehills, MD 20748 | 2016-12-28 |
| 1205370095 | Crystal Hughes | Specialist | 6337 Old Branch Ave Shop 37, Camp Springs, MD 20748 | 2016-12-13 |
| 1417385444 | Ibhs LLC | Substance Abuse Rehabilitation Facility | 5000 Barnabas Road, Ct2, Temple Hills, MD 20748 | 2013-10-30 |
| 1063848703 | Oluwagbenga Jegede | Home Health Aide | 6516 Allentown Rd, Temple Hills, MD 20748 | 2013-09-25 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1215178959 | Patricia Ann Carter | Counselor | 5121 Henderson Road, Suite 101, Temple Hills, MD 20748 | 2009-03-10 |
| 1427220888 | Emerging Vision | Technician/Technologist | 3801 D Branch Ave, Iverson Mall, Temple Hills, MD 20748 | 2008-03-26 |
| Find all providers in zip 20748 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436173 | Pamela Stokes Eggleston | Specialist/Technologist | 12504 Canfield Ln, Bowie, MD 20715-1518 | 2020-01-16 |
| 1720618978 | Nazaahah Amin | Specialist/Technologist | 636 North Gilmor Street, Baltimore, MD 21217-2121 | 2020-01-16 |
| 1366961518 | Chanice Tiara Yelder I | Specialist/Technologist | 1326 Tralee Cir, Aberdeen, MD 21001-2642 | 2017-09-19 |
| 1629474838 | Rakita Marie Ames | Specialist/Technologist | 442 Walton Ct, Baltimore, MD 21201-2122 | 2014-11-16 |
| 1003314014 | Kelly Lynne Jarrett | Specialist/Technologist | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-01-24 |
| 1033230081 | Chin-hua Wang | Specialist/Technologist | 6410 Rockledge Dr, Nrh Regional Rehab - Suite 600, Bethesda, MD 20817-1809 | 2007-04-03 |
| City | CAMP SPRINGS |
| Zip Code | 20748 |
Please comment or provide details below to improve the information on MR. PAUL JEROME CARR JR..
| 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.