CONNIE JO MCCARROLL (NPI# 1578534277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578534277 |
| Entity Type | Individual |
| Full Name | CONNIE JO MCCARROLL |
| Credential | D.O. |
| Practice Address |
313 Parks Hall Athens OH 45701 |
| Mailing Address |
1102 Altamonte Dr Athens OH 45701-8048 |
| Practice Telephone | 7405932444 |
| Practice Fax Number | 7405930905 |
| Mailing Telephone | 7405921230 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 34002567 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0535326 | 05 | |
| OH | OHIO LICENSE | 34002567 | 01 |
| OH | DEA | AM8659180 | 01 |
| Street Address |
313 PARKS HALL |
| City | ATHENS |
| State | OH |
| Zip Code | 45701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434397 | Charles Thomas Clark | Pediatrics | 313 Parks Hall, Athens, OH 45701 | 2006-02-06 |
| 1952373052 | Karen Ann Montgomery | Pediatrics | 313 Parks Hall, Athens, OH 45701 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950420 | Meredith Grace Merkley | Pediatrics | 6561 Lemaster Rd, Athens, OH 45701-9134 | 2014-03-26 |
| 1356661599 | Amy Marie Zidron | Pediatrics | 24 W Green Dr Ste 329, Athens, OH 45701-2974 | 2010-06-10 |
| 1003131244 | James Nicholas Frisk | Pediatrics | 125 Telfair Pl, Athens, GA 30606-3237 | 2010-03-31 |
| 1982898383 | Victor E Payton Md, PC | Pediatrics | 700 Oglethorpe Ave # 3, Athens, GA 30606-2221 | 2007-08-29 |
| 1083771398 | Patrick E Phelan | Pediatrics | 1500 Oglethorpe Ave Bldg 600, Athens, GA 30606-2179 | 2007-01-03 |
| 1346303575 | Christian D Lindsey | Pediatrics | 1500 Oglethorpe Ave Ste 600a, Athens, GA 30606-2185 | 2006-12-19 |
| 1881757193 | Athen Kids Specialists P.c | Pediatrics | 650 Oglethorpe Ave., Ste 4, Athens, GA 30303-2216 | 2006-12-18 |
| 1386726446 | Bibi Lee Teng | Pediatrics | 1005 West Market Street, Suite 4, Athens, AL 35611 | 2006-10-19 |
| 1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
| 1750306429 | Venkatappa N Murthy | Pediatrics | 555 Research Dr, Athens, GA 30605-2729 | 2006-07-13 |
| Find all providers in ATHENS | ||||
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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.