DR. JOHN M CARROLL (NPI# 1376511717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376511717 |
| Entity Type | Individual |
| Full Name | DR. JOHN M CARROLL |
| Credential | M.D. |
| Practice Address |
390 Pleasant St Malden MA 02148-8114 |
| Practice Telephone | 7813227178 |
| Practice Fax Number | 7813211971 |
| Mailing Telephone | 7813227178 |
| Mailing Fax Number | 7813211971 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 28856 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0113867 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043853658 | John Carroll | Marriage & Family Therapist | 400 W 23rd St Apt 5j, New York, NY 10011-2176 | 2019-10-26 |
| 1376852301 | John Carroll | Emergency Medicine | 2727 W Heading Ave, West Peoria, IL 61604-4981 | 2010-09-24 |
| 1417151440 | John Raymond Carroll | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd, Udp At Umdnj-som, Dept. of Family Medicine, Rm 2100, Stratford, NJ 08084 | 2007-06-13 |
| 1396869210 | John Francis Carroll | Pediatrics | 108 Canal Walk Blvd, Somerset, NJ 08873-7277 | 2007-03-17 |
| 1508946054 | John T Carroll | Podiatrist | 455 Boston Post Rd Ste 8, Old Saybrook, CT 06475-1554 | 2006-10-17 |
| 1457379042 | John Thomas Carroll | Obstetrics & Gynecology | 503 Thornhill Dr, Carol Stream, IL 60188-2780 | 2006-07-18 |
| 1952340069 | John L Carroll | Dentist | 1020 5th St Se, Winter Haven, FL 33880-4210 | 2006-06-05 |
| 1063468932 | John Anthony Carroll | Internal Medicine | 8328 E Hartford Dr, Scottsdale, AZ 85255-6520 | 2006-05-25 |
| 1508811860 | John D Carroll | Internal Medicine | 10689 Hardin Valley Rd, Knoxville, TN 37932-1504 | 2006-05-24 |
| 1669442869 | John Michael Carroll | Pediatrics | 6108 Garners Ferry Rd, Columbia, SC 29209-1401 | 2006-01-23 |
| Street Address |
390 PLEASANT ST |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-8114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285145599 | Lucrecia Perez | Massage Therapist | 390 Pleasant St, Malden, MA 02148-8114 | 2017-10-13 |
| 1114326212 | Gloria Isabel Valiente Soares | Massage Therapist | 390 Pleasant St, Malden, MA 02148-8114 | 2014-08-14 |
| 1578972196 | A Plus Physical Rehab, Inc | Chiropractor | 390 Pleasant St, Malden, MA 02148-8114 | 2014-08-07 |
| 1801226659 | Masse Neuromuscular Therapy | Clinic/Center | 390 Pleasant St, Malden, MA 02148-8114 | 2013-11-14 |
| 1679818546 | Svetlana Nikolaevna Kuzmich | Specialist | 390 Pleasant St, Malden, MA 02148 | 2012-12-04 |
| 1871720318 | Morgan Jay Higginbotham | Chiropractor | 390 Pleasant St, Malden, MA 02148-8114 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1578959292 | Htet Htet Maung | Internal Medicine | 277 Commercial St, Malden, MA 02148 | 2015-04-09 |
| 1437317963 | Abdulelah M Naqshabandi | Internal Medicine | 10 Florence St, Apt.303, Malden, MA 02148-3907 | 2008-05-30 |
| 1194919530 | David F Tee Md PC | Internal Medicine | 380 Pleasant St, Ste 11, Malden, MA 02149 | 2007-08-29 |
| 1275664658 | Jacquelyn Brooke Stevens | Internal Medicine | 452 Pleasant St, Office of Michael S. Wiedman, M.d., Malden, MA 02148 | 2007-03-08 |
| 1518903327 | Malden Primary Care, PC | Internal Medicine | 380 Pleasant St, Suite 13, Malden, MA 02148-8123 | 2006-06-21 |
| 1659318459 | Arnold J. Blank | Internal Medicine | 380 Pleasant St, #13, Malden, MA 02148-8123 | 2006-06-01 |
| 1003884677 | David Fowler Tee | Internal Medicine | 380 Pleasant St, Suite 1-1, Malden, MA 02148-8123 | 2006-03-09 |
| 1457324709 | Richard Alan Hochman | Internal Medicine | 380 Pleasant St, Suite 13, Malden, MA 02148-8123 | 2006-02-08 |
| 1124091491 | Frances Schuss | Internal Medicine | 380 Pleasant St, Suite 13, Malden, MA 02148-8123 | 2006-02-08 |
| Find all providers in MALDEN | ||||
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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.