MR. JEFFREY W CARROLL (NPI# 1396704516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396704516 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY W CARROLL |
| Credential | PA C |
| Practice Address |
927 Franklin St Huntsville AL 35801 |
| Practice Telephone | 2565392728 |
| Practice Fax Number | 2564283423 |
| Mailing Telephone | 2565392728 |
| Mailing Fax Number | 2564283423 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2013-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA398 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1217 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AETNA | 7190662 | 01 |
| AL | 009978285 | 05 | |
| AL | UNITED HEALTHCARE | 090219 | 01 |
| AL | BCBS | 51000081 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332144 | Jeffrey Carroll | Internal Medicine | 225 Memorial Dr Ste 1400, Berlin, WI 54923-1243 | 2005-08-02 |
| 1619537917 | Jeffrey Samuel Carroll | Dentist | 473 Wood St, Troy, NC 27371-2849 | 2019-06-18 |
| 1285169698 | Jeffrey D.t. Carroll | Physician Assistant | 307 S 13th St Ste 300, Mount Vernon, WA 98274-4100 | 2017-04-23 |
| 1710364641 | Jeffrey Tyler Carroll | Registered Nurse | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2015-04-29 |
| 1912327891 | Jeffrey Colin Carroll | Pediatrics | 4444 E 41st St, Tulsa, OK 74135 | 2014-04-18 |
| 1730468778 | Jeffrey Ryan Carroll | Anesthesiologist Assistant | 5424 Grand Blvd, New Port Richey, FL 34652-4008 | 2011-08-09 |
| 1255360897 | Jeffrey Carroll | Orthopaedic Surgery | 19701 Vernier Rd, Ste 150, Harper Woods, MI 48225-1467 | 2006-07-03 |
| 1023050192 | Jeffrey Carroll | Pediatrics | 1233 N 30th St, Billings, MT 59101-0127 | 2006-06-12 |
| Street Address |
927 FRANKLIN ST |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128188 | Steven L Buckley | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-15 |
| 1770521551 | Larry M Parker | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-06-03 |
| 1073567913 | Saranya Nadella | Physical Medicine & Rehabilitation | 927 Franklin St, Huntsville, AL 35801 | 2006-05-22 |
| 1427001924 | Franklin Calame Sammons | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-05-18 |
| 1801857032 | Brian M Scholl | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-29 |
| 1710948948 | John J Greco | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-29 |
| 1164483392 | Stanton B Davis Jr. | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-29 |
| 1073574208 | Brian R Carter | Physical Medicine & Rehabilitation | 927 Franklin St, Huntsville, AL 35801 | 2006-03-29 |
| 1982665113 | Richard C Burnside | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-29 |
| 1295795888 | Thomas P Laberenz | Physician Assistant | 927 Franklin St, Huntsville, AL 35801 | 2006-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099268 | Leonard P Zimnowski II | Physician Assistant | 201 Governors Dr, 1st Floor, Huntsville, AL 35801-4317 | 2005-08-09 |
| 1922624865 | Katie Lauren Kim | Physician Assistant | 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | 2020-06-16 |
| 1366084733 | Mason L Morris | Physician Assistant | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2019-10-17 |
| 1295292522 | Amanda Danielle Moses | Physician Assistant | 207 Longwood Dr Sw, Huntsville, AL 35801-5243 | 2019-02-22 |
| 1073014312 | Ryne Sheffield Craig | Physician Assistant | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2018-02-22 |
| 1053858431 | Whitney Esdale | Physician Assistant | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2017-01-24 |
| 1700256799 | Julia Myers | Physician Assistant | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2015-10-02 |
| 1750706966 | Elizabeth Briglia | Physician Assistant | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2014-02-25 |
| 1275891426 | Rachel Massey Tynan | Physician Assistant | 927 Franklin St Se, Huntsville, AL 35801 | 2012-04-25 |
| 1750685673 | Kerri Lu Leva Cisney | Physician Assistant | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2011-01-06 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on MR. JEFFREY W 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.