TANNON DAJUAN CARROLL (NPI# 1154484715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154484715 |
| Entity Type | Individual |
| Full Name | TANNON DAJUAN CARROLL |
| Credential | MD |
| Practice Address |
301 Seton Pkwy Suite 302 Round Rock TX 78665-8002 |
| Mailing Address |
1400 N Ih 35 Suite 300 Austin TX 78701-1926 |
| Practice Telephone | 5123244812 |
| Practice Fax Number | 5123244728 |
| Mailing Telephone | 5123248300 |
| Mailing Fax Number | 5123248301 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
P7887 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
P7887 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 328854001 | 05 | |
| TX | BCBS | 8DZ199 | 01 |
| TX | 328854003 | 05 | |
| TX | 328854004 | 05 | |
| TX | BCBS | 8ET191 | 01 |
| Street Address |
301 SETON PKWY SUITE 302 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730828 | Michael Fernando Lenis | Internal Medicine | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2005-06-20 |
| 1275069155 | Cheryl Biscocho | Physical Therapist | 301 Seton Pkwy, Ste 301, Round Rock, TX 78665-8002 | 2017-05-11 |
| 1679009542 | Erica Tyler | Physical Therapist | 301 Seton Pkwy, Ste 301, Round Rock, TX 78665-8002 | 2017-05-11 |
| 1598296766 | Jenny Jihae He | Physician Assistant | 301 Seton Pkwy, Suite 104, Round Rock, TX 78665-8002 | 2017-03-21 |
| 1063891687 | Austin and Round Rock Travel and Infectious Diseases LLC | Internal Medicine | 301 Seton Pkwy, Suite 402, Round Rock, TX 78665-8002 | 2015-05-28 |
| 1982029153 | Erika Lunsford | Physical Therapist | 301 Seton Pkwy, Ste. 301, Round Rock, TX 78665-8002 | 2014-02-25 |
| 1407298649 | Shila Sue Yelle | Nurse Practitioner | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2013-07-29 |
| 1437493244 | Institute of Reconstructive Plastic Surgery of Central Texas | Plastic Surgery | 301 Seton Pkwy, Ste 402, Round Rock, TX 78665-8002 | 2012-11-16 |
| 1922301712 | The Surgery Center At Williamson LLC | Clinic/Center | 301 Seton Pkwy, Ste 200, Round Rock, TX 78665-8002 | 2010-12-16 |
| 1245462597 | Michael Augustine Gilheany | Nurse Practitioner | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245215516 | Manish Sagarmal Chauhan | Internal Medicine | 2410 Round Rock Ave Ste 170, Round Rock, TX 78681 | 2005-12-09 |
| 1801882907 | Joel Todd Gage | Internal Medicine | 7215 Wyoming Springs, Bldg 1, Suite 100, Round Rock, TX 78681-4311 | 2005-09-23 |
| 1245468545 | Jose Francisco Condado Contreras | Internal Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2009-06-24 |
| 1346481744 | Texas Cardiovascular Consultants, P.a. | Internal Medicine | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2009-03-13 |
| 1033238019 | Rafael Eduardo Gonzalez | Internal Medicine | 302 University Blvd, Round Rock, TX 78665-1032 | 2007-03-28 |
| 1538132030 | Gerardo Kalife | Internal Medicine | 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | 2006-02-07 |
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|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on TANNON DAJUAN CARROLL.
| 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.