CARROLL HEALTH GROUP, LLC (NPI# 1306252341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306252341 |
| Entity Type | Organization |
| Organization Name | CARROLL HEALTH GROUP, LLC |
| Practice Address |
4175 Hanover Pike Suite A Manchester MD 21102-1454 |
| Mailing Address |
193 Stoner Ave Suite 110 Westminster MD 21157-5587 |
| Practice Telephone | 4102392662 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | KEVIN KELBLY (CFO) |
| Authorized Official Telephone | 4108716861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939011 | Carroll Health Group, LLC | Family Medicine | 2319 Hanover Pike, Suite E-f, Hampstead, MD 21074-1137 | 2014-07-10 |
| 1487061800 | Carroll Health Group, LLC | Family Medicine | 113 Westminster Pike, Suite 101, Reisterstown, MD 21136-1047 | 2014-07-17 |
| 1730596396 | Carroll Health Group, LLC | Family Medicine | 520 E Baltimore St, Suite 8, Taneytown, MD 21787-2407 | 2014-07-16 |
| 1942617766 | Carroll Health Group, LLC | Plastic Surgery | 295 Stoner Ave, Suite 205, Westminster, MD 21157-5698 | 2014-07-14 |
| 1275940090 | Carroll Health Group, LLC | Orthopaedic Surgery | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2014-07-14 |
| 1609283431 | Carroll Health Group, LLC | Family Medicine | 826 Washington Rd, Suite 120, Westminster, MD 21157-5750 | 2014-07-14 |
| 1427465244 | Carroll Health Group, LLC | Otolaryngology | 295 Stoner Ave, Suite 308, Westminster, MD 21157-5698 | 2014-07-14 |
| 1477969475 | Carroll Health Group, LLC | Obstetrics & Gynecology | 193 Stoner Ave, Suite 300, Westminster, MD 21157-5587 | 2014-07-10 |
| 1912312893 | Carroll Health Group, LLC | Psychiatry & Neurology | 1 Village Sq, Westminster, MD 21157-6145 | 2014-06-30 |
| 1528403995 | Carroll Health Group, LLC | Psychiatry & Neurology | 200 Memorial Ave, Westminster, MD 21157-5726 | 2013-04-30 |
| Street Address |
4175 HANOVER PIKE SUITE A |
| City | MANCHESTER |
| State | MD |
| Zip Code | 21102-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033368337 | Michael Gale Eyer | Family Medicine | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2008-09-11 |
| 1073017224 | Stephanie Lynn Vagnier | Nurse Practitioner | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669516183 | Victor R Aybar | Podiatrist | 2963 Manchester Rd Ste D, Manchester, MD 21102 | 2007-02-17 |
| 1114924115 | Long View Nursing Home, Inc. | Skilled Nursing Facility | 3332 Main St, Pob 390, Manchester, MD 21102-0390 | 2005-07-05 |
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1093058596 | Angella Vassell | Counselor | 3206 Mccurley Dr, Manchester, MD 21102-1449 | 2013-04-03 |
| 1790261428 | Kayla Dolch | Behavioral Analyst | 3907 Calvins Twilight Way, Manchester, MD 21102-1512 | 2018-07-16 |
| 1801204797 | Heather Schwendeman-kincaid | Behavioral Analyst | 2901 Holland Dr, Manchester, MD 21102-1737 | 2014-07-24 |
| 1285800110 | Jacqueline G. Hancock, Crna, Pa | Nurse Anesthetist, Certified Registered | 3245 Farm Ln, Manchester, MD 21102-1780 | 2008-04-30 |
| 1275537730 | Manchester Pharmacy Inc | Pharmacy | 3321 Main St, Unit A1, Manchester, MD 21102-1790 | 2005-06-11 |
| 1891049318 | Manchester Pharmacy, Inc | Pharmacy | 3321 Main St, Unit A1, Manchester, MD 21102-1790 | 2012-11-06 |
| 1841598117 | Bestcare Nurses, Inc. | Clinic/Center | 3321 Main St, Suite A-3, Manchester, MD 21102-1790 | 2011-03-09 |
| Find all providers in zip 21102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 21102 |
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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.