MS. MARY L CAROLLO (NPI# 1508914904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508914904 |
| Entity Type | Individual |
| Full Name | MS. MARY L CAROLLO |
| Credential | P A C |
| Practice Address |
175 S Union Blvd Ste 345 Colorado Springs CO 80910 |
| Mailing Address |
5955 Wilson Road Colorado Springs CO 80919-3553 |
| Practice Telephone | 7194717158 |
| Practice Fax Number | 7194717159 |
| Mailing Telephone | 7195489182 |
| Mailing Fax Number | 7195931512 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
498 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 S UNION BLVD STE 345 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324168 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 175 S Union Blvd, Ste 370, Colorado Springs, CO 80910-3113 | 2005-05-23 |
| 1538788823 | Katharine Berscheid | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-16 |
| 1518586635 | Kathryn Allison Seidman | Speech-Language Pathologist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-09 |
| 1487283008 | Carolyn Montgomery | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-06 |
| 1316506231 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2019-06-13 |
| 1790344042 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Suite 100, Colorado Springs, CO 80910-3117 | 2019-06-11 |
| 1588175483 | Sarah Farrell | Speech-Language Pathologist | 175 S Union Blvd, Suite 225, Colorado Springs, CO 80910 | 2017-10-18 |
| 1477090538 | Claribel Polanco | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2017-01-27 |
| 1487197646 | Kristen Elizabeth Arestad | Occupational Therapist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-11-21 |
| 1336590801 | Brittany Pieters | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932517307 | Soco Surgical Services | Physician Assistant | 4140 Autumn Heights Dr Unit D, Colorado Springs, CO 80906-5912 | 2014-07-29 |
| 1609117654 | Tracy Andrew Truffin | Physician Assistant | 2955 Professional Pl Ste 100, Colorado Springs, CO 80904-8140 | 2013-03-14 |
| 1487792164 | Sondra Elaine Early | Physician Assistant | 2312 N Nevada Ave Ste 305, Colorado Springs, CO 80907-5318 | 2007-02-02 |
| 1427074434 | Mel I Cohen | Physician Assistant | 3225 International Circle, Suite 100, Colorado Springs, CO 80910 | 2006-07-14 |
| 1841231230 | Andrew Richard Domer | Physician Assistant | 3920 N Union Blvd Ste 330, Colorado Springs, CO 80907-4916 | 2006-06-09 |
| 1194373670 | Caitlin Dierkes | Physician Assistant | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-08-28 |
| 1528616091 | Integral First Assist Services, LLC | Physician Assistant | 1322 N Academy Blvd Ste 204, Colorado Springs, CO 80909-3320 | 2019-08-28 |
| 1649823196 | Sara Westerhaus, Surgical Assisting, LLC | Physician Assistant | 1322 N Academy Blvd Ste 204, Colorado Springs, CO 80909-3320 | 2019-07-23 |
| 1477072304 | Chelsea Elizabeth Onksen | Physician Assistant | 2222 N Nevada Ave Ste 5017, Colorado Springs, CO 80907-6865 | 2017-09-12 |
| 1629505250 | Teren Wayne Abraham Culbertson | Physician Assistant | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2017-05-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on MS. MARY L CAROLLO.
| 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.