DR. MATTHEW BERNARD CARROLL (NPI# 1124247341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124247341 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BERNARD CARROLL |
| Credential | M.D. |
| Practice Address |
3101 Denny Ave Ste 240 Pascagoula MS 39581-5307 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2286969995 |
| Practice Fax Number | 2286969906 |
| Mailing Telephone | 2284977576 |
| Mailing Fax Number | 2284978869 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
23890 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06688263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325580 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Internal Medicine, Los Angeles, CA 90095-7419 | 2019-03-18 |
| 1225139314 | Matthew Carroll | Psychiatry & Neurology | 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 | 2006-09-25 |
| 1780152025 | Matthew Carroll | Specialist/Technologist | 505 Jim Calhoun Way, Storrs, CT 06268-1728 | 2018-11-05 |
| 1710455209 | Matthew William Carroll | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2018-11-02 |
| 1588169320 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2018-03-26 |
| 1548789175 | Matthew T Carroll | Physical Therapist | 8796 Route 219, Brockway, PA 15824-6010 | 2017-09-14 |
| 1003270091 | Matthew Carroll | Obstetrics & Gynecology | 1 Baylor Plz, Bcm610, Houston, TX 77030-3411 | 2016-04-06 |
| 1346595014 | Matthew L. Carroll | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2012-07-19 |
| 1518283761 | Matthew Carroll | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2010-04-13 |
| 1205150968 | Matthew Robert Carroll | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2010-03-23 |
| Street Address |
3101 DENNY AVE STE 240 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174614895 | John Churchill Huntwork | Internal Medicine | 4211 Hospital St, Suite 206, Pascagoula, MS 39581-5320 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835305 | North Mississippi Medical Center, Inc. | Internal Medicine | 408 Council Cir Ste A, Tupelo, MS 38801-4949 | 2019-08-09 |
| 1619356722 | Lauren Parker Hayward | Internal Medicine | 504 Azalea Dr Ste 4, Oxford, MS 38655-5397 | 2015-05-21 |
| 1649686395 | Madison Medical Rheumatology, LLC | Internal Medicine | 1607 Doctor's Drive, Madison, MS 39110-8671 | 2014-07-02 |
| 1952745663 | Neal Shparago Do Pa | Internal Medicine | 1190 N State St Ste 302, Jackson, MS 39202-2413 | 2013-04-24 |
| 1851585004 | Dedri Markita Ivory | Internal Medicine | 3510 Pemberton Square Blvd, Vicksburg, MS 39180-5506 | 2007-08-30 |
| 1851431159 | David Ian Weiss | Internal Medicine | 15 Orleans Dr, Hattiesburg, MS 39402 | 2007-02-07 |
| 1487747234 | Rheumatology Associates, Pllc | Internal Medicine | 1190 N State St Ste 303, Jackson, MS 39202-2413 | 2006-10-02 |
| 1760495071 | Jean Guyton Gispen | Internal Medicine | Employee Health Service, V. B. Harrison Building, Rebel Drive, University, MS 38677 | 2006-08-15 |
| 1720092547 | Chris H Benson | Internal Medicine | 104 Millsaps Dr, Hattiesburg, MS 39402-1328 | 2006-07-28 |
| 1568499531 | Kenneth J. Hardy | Internal Medicine | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.