DAVID CARROLL (NPI# 1356900054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356900054 |
| Entity Type | Individual |
| Full Name | DAVID CARROLL |
| Credential | MD |
| Practice Address |
1 Genesys Pkwy Grand Blanc MI 48439-8065 |
| Mailing Address |
99 Harris Ave Needham MA 02492-3709 |
| Practice Telephone | 6175830221 |
| Mailing Telephone | 6175830221 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4351045461 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| 1487024352 | David Carroll | Physical Therapist | 2113 Hagen Ln, Flossmoor, IL 60422-1617 | 2015-10-04 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1205140134 | David Carroll | Social Worker | 100 A Haverhill Street, St. Ann's Home, Methuen, MA 01844 | 2010-08-03 |
| 1801054069 | David Carroll | Dentist | 15801 Biscayne Blvd, 200, Aventura, FL 33160-4601 | 2008-05-23 |
| 1558434449 | David Orry Carroll | Counselor | 1529 Edie Ct, Santa Maria, CA 93454-4810 | 2006-11-16 |
| 1992353718 | David Jesse Carroll | Counselor | 1012 Odnr Mohican 51, Perrysville, OH 44864-9407 | 2019-08-27 |
| 1154985679 | David John Carroll | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2019-04-30 |
| 1487004156 | David Scott Carroll | Pharmacist | 11290 Donner Pass Rd, Truckee, CA 96161-4808 | 2016-06-14 |
| 1194187302 | David Brian Carroll Jr. | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2016-03-26 |
| Street Address |
1 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333498 | Statcare PC | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2005-06-01 |
| 1699389627 | Onyinyechi V Anukem | Psychologist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-09-08 |
| 1437763737 | Jordan Thomas Bozzo | Nurse Anesthetist, Certified Registered | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-09-03 |
| 1871106302 | Tiffany Marie Polzin | Psychologist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-25 |
| 1790396349 | Aark Hospitalist Pllc | General Acute Care Hospital | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-16 |
| 1306456801 | Matthew Thomas Keely | Registered Nurse | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-09 |
| 1134747314 | Hamza Chaudhry | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-07-14 |
| 1881211480 | Ahmed Elzein | Student in an Organized Health Care Education/Training Program | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-30 |
| 1932726445 | Guntas Sangha | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-30 |
| 1003432212 | Soraya Darwood | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304105 | Roland R Tindle | Emergency Medicine | 8401 Holly Rd, Grand Blanc, MI 48439-1812 | 2005-08-24 |
| 1255333498 | Statcare PC | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2005-06-01 |
| 1932725785 | Brett Hinsley | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-17 |
| 1336762434 | Meg Michaela Riley | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-05-22 |
| 1134742323 | Ellie Virgin | Emergency Medicine | 1 Genesys Pkwy, Ascension Genesys Hospital, Gme, Grand Blanc, MI 48439 | 2020-05-21 |
| 1649892266 | Jordan A Place | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-05-18 |
| 1790307718 | Michal Hammond | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-05-13 |
| 1437770286 | Nicholas J Stiles | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-05-04 |
| 1558921619 | Kaitlyn Elizabeth Takach | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-06-19 |
| 1407415623 | Rosalee Gammell | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-06-11 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.