TIMOTHY PATRICK CARROLL


Address: 701 N 1st St, Springfield, IL 62702-3757
Phone: 2175458000

TIMOTHY PATRICK CARROLL (NPI# 1235751231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235751231
Entity Type Individual
Full Name TIMOTHY PATRICK CARROLL
Credential MD
Practice Address 701 N 1st St
Springfield
IL 62702-3757
Mailing Address Po Box 19636
Springfield
IL 62794-9636
Practice Telephone 2175458000
Practice Fax Number 2175454735
Mailing Telephone 2175458000
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 125075812 IL Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 125.075812 IL Allopathic & Osteopathic Physicians

Other Providers TIMOTHY CARROLL

NPI Name Taxonomy Address Enumeration
1528694767 Timothy Field Carroll Student in an Organized Health Care Education/Training Program 3435 Dickason Ave Apt 2616, Dallas, TX 75219-4987 2020-03-19
1770600694 Timothy Carroll Physical Therapy Assistant Rr 2 Box 534, Comanche, OK 73529-9677 2007-03-24
1952468787 Timothy Kennell Carroll Psychologist 4790 N Winners Cir Unit A, Palm Springs, CA 92264-5868 2007-01-02
1629173323 Timothy Carroll Dentist 3h Taggart Dr, Nashua, NH 03060-5592 2006-09-14
1902446248 Timothy Martin Carroll Nurse Practitioner 2315 Myrtle St Ste L90, Erie, PA 16502-4607 2020-01-15
1639651243 Timothy Carroll Physical Therapy Assistant 7540 N 19th Ave, Phoenix, AZ 85021-7967 2018-08-30
1477031870 Timothy Ross Carroll Physician Assistant 1055 N 500 W Ste 121, Provo, UT 84604-3305 2018-07-30
1215334792 Timothy Joel Carroll Pharmacist 45 Earhart Dr, Suite 110, Amherst, NY 14221-7809 2014-11-26
1891116141 Timothy Carroll Physician Assistant 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2014-01-03
1285965616 Timothy Martin Carroll Counselor 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 2010-01-25

Office Location

Street Address 701 N 1ST ST
City SPRINGFIELD
State IL
Zip Code 62702-3757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607123 Memorial Home Services Home Health 701 N 1st St, Springfield, IL 62781-4952 2005-05-23
1316552524 Mary Ann Seagle Nurse Practitioner 701 N 1st St, Springfield, IL 62781-0001 2020-09-14
1497372361 Amir Mcphearson Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-26
1508482597 Kirsten Kay Carew Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-25
1699391482 Aruya Davis Registered Nurse 701 N 1st St, Springfield, IL 62781-0001 2020-06-17
1497370852 Alyssa Rose Jimerson Nurse Anesthetist, Certified Registered 701 N 1st St, Springfield, IL 62781-0001 2020-06-11
1649895038 Elisha Boyd Nurse Practitioner 701 N 1st St, Springfield, IL 62702-3757 2020-06-10
1275158990 Ashley L Mcgrath Nurse Anesthetist, Certified Registered 701 N 1st St, Springfield, IL 62781-0001 2020-06-09
1205451812 Christopher Evan Bejcek Orthopaedic Surgery 701 N 1st St, Springfield, IL 62702-3757 2020-06-09
1912521790 Neil Carter Parker Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639675077 Anand Kanjolia, M.d. LLC Internal Medicine 222 Carew St Fl 4, Springfield, MA 01104-4109 2018-04-04
1376068817 Personal Primary Care and Weight Management, LLC Internal Medicine 299 Carew St Ste 234, Springfield, MA 01104-2368 2017-08-05
1184145682 Basma Al-bast Internal Medicine 701 N 1st St Ste 434, Springfield, IL 62702-3757 2017-07-05
1689124604 John Duff Internal Medicine 2909 S Camber Ave, Springfield, MO 65809-3547 2016-10-13
1669834941 Siddhi Joshi Internal Medicine 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 2016-03-24
1265898936 Mohammad Rahimuddin Internal Medicine 2556 Snyder Domer Rd, Springfield, OH 45502-8161 2016-01-11
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1033589304 Hshs Medical Group Inc Internal Medicine 3215 Executive Park Dr, Springfield, IL 62703-4514 2015-09-30
1679992895 Ahlam Elbadri Internal Medicine 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 2014-04-15
1528487543 Barbara Vinci Internal Medicine 2443 Troy Rd, Springfield, OH 45504-4233 2014-04-08
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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