DR. LINDA R. CARROLL (NPI# 1598735508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598735508 |
Entity Type | Individual |
Full Name | DR. LINDA R. CARROLL |
Credential | M.D. |
Practice Address |
929 Sw Simpson Ave Bend OR 97702-3118 |
Practice Telephone | 5413897741 |
Practice Fax Number | 1541278837 |
Mailing Telephone | 5413897741 |
Mailing Fax Number | 1541278837 |
Enumeration Date | 2006-01-23 |
Last Update Date | 2012-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
23342 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 226932 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932641065 | Linda Carroll | Counselor | 7000 Red Fox Trl, Shreveport, LA 71129-3500 | 2016-11-07 |
1669614376 | Linda Marie Carroll | Chiropractor | 224 N Pine St, Creston, IA 50801-2412 | 2009-03-26 |
1073727574 | Linda M Carroll | Speech-Language Pathologist | 424 W 49th St, Suite 1, New York, NY 10019-7290 | 2007-05-10 |
1437245388 | Linda Ann Carroll | Nurse Practitioner | 2291 N University Dr, Pembroke Pines, FL 33024-3611 | 2006-10-05 |
1972949162 | Linda Anne Carroll | Registered Nurse | 61 Davis Ave, Neptune, NJ 07753-4401 | 2013-05-15 |
1922355692 | Linda Christina Carroll | Registered Nurse | 7 Norma Ln, Kings Park, NY 11754-4520 | 2012-08-12 |
1518151711 | Linda Lee Carroll | Physical Therapy Assistant | 257 Georgetown Rd, Beaver Falls, PA 15010-9740 | 2007-08-30 |
1467465187 | Linda Carroll | Specialist | 5850 Eubank Blvd Ne, Suite B-49/158, Albuquerque, NM 87111 | 2006-08-14 |
Street Address |
929 SW SIMPSON AVE |
City | BEND |
State | OR |
Zip Code | 97702-3118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699774877 | Paul Jennings Johnson | Family Medicine | 929 Sw Simpson Ave, Suite 300, Bend, OR 97702-3599 | 2005-07-19 |
1932503455 | Hannah Hogan | Acupuncturist | 929 Sw Simpson Ave, #150, Bend, OR 97702-3599 | 2014-10-13 |
1780092155 | Erica Danielle Crosta | Dentist | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2014-07-29 |
1982014049 | Nicholas Andrew Williams | Physician Assistant | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2014-04-29 |
1376886895 | Whitney K Drew | Physician Assistant | 929 Sw Simpson Ave, Suite 300, Bend, OR 97702-3599 | 2013-04-03 |
1568749687 | Mark Goodman | Counselor | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2011-11-03 |
1912155870 | Point Chiropractic | Chiropractor | 929 Sw Simpson Ave, Ste 140, Bend, OR 97702-3599 | 2008-09-04 |
1952509291 | Stacy Caldwell | Physician Assistant | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 | 2007-07-09 |
1194862417 | David J Kelly | Family Medicine | 929 Sw Simpson Ave, Ste 300, Bend, OR 97702-3118 | 2007-01-30 |
1225104235 | Mark Thibert | Family Medicine | 929 Sw Simpson Ave, Suite 300, Bend, OR 97702-3599 | 2006-11-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
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Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578983300 | Keegan John Mcclary | Physical Medicine & Rehabilitation | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2014-04-19 |
1902989288 | Catherine A Rojo | Physical Medicine & Rehabilitation | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2006-10-23 |
1780649079 | Jon Norman Swift Jr. | Physical Medicine & Rehabilitation | 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650864 | David Edison Harris | Physical Medicine & Rehabilitation | 707 Murphy Rd Ste 101, Medford, OR 97504-8520 | 2020-05-16 |
1265062202 | Resurgent Health, LLC | Physical Medicine & Rehabilitation | 2850 Se Powell Valley Rd Ste 205a, Gresham, OR 97080-1489 | 2020-01-17 |
1568003887 | Transform Health LLC | Physical Medicine & Rehabilitation | 1200 Executive Pkwy Ste 260, Eugene, OR 97401-2199 | 2019-10-08 |
1215434519 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 17175 Sw Tualatin Valley Hwy Ste A-1, Beaverton, OR 97003-4584 | 2018-04-12 |
1275037020 | Daniel Eric Marsh Jr. | Physical Medicine & Rehabilitation | 14290 Marjorie Ln Apt 2098, Oregon City, OR 97045-7863 | 2018-03-19 |
1013417351 | Burnside Surgery Center LLC | Physical Medicine & Rehabilitation | 689 Nw Burnside Rd Fl 1, Gresham, OR 97030-3739 | 2018-02-13 |
1902117898 | Jennifer K Cann | Physical Medicine & Rehabilitation | 9400 Sw Beaverton Hillsdale Hwy Ste 205, Beaverton, OR 97005-3349 | 2010-06-25 |
1639303597 | Trevor Dee Jorgensen | Physical Medicine & Rehabilitation | 2003 Cedar St, Forest Grove, OR 97116-1701 | 2009-05-07 |
1033319124 | Gregory M Phillips | Physical Medicine & Rehabilitation | 74b Centennial Loop Ste 300, Neurospine Institute LLC, Eugene, OR 97401-7925 | 2007-07-18 |
1144428079 | Rebeca M Monreal | Physical Medicine & Rehabilitation | 1100 22nd St Se, Salem, OR 97302-6558 | 2007-07-03 |
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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.