DR. MICHAEL G CARROLL (NPI# 1609876978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609876978 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G CARROLL |
| Credential | MD |
| Practice Address |
1460 Bluegrass Ave Louisville KY 40215-1272 |
| Mailing Address |
6801 Dixie Hwy Suite 130 Louisville KY 40258-3913 |
| Practice Telephone | 5023618496 |
| Practice Fax Number | 5023613377 |
| Mailing Telephone | 5023618496 |
| Mailing Fax Number | 5023613377 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
16212 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100003350 | 05 | |
| KY | 6590070600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485919 | Michael John Carroll | Dietitian, Registered | 276 Randolph Ave, East Rutherford, NJ 07073-1345 | 2019-03-11 |
| 1710481544 | Michael Carroll | Specialist/Technologist | 8170 Denver Rd, Waverly, OH 45690-9535 | 2018-03-19 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1083913982 | Michael Carroll | Pharmacist | 4936 Veterans Blvd., Metairie, LA 70003 | 2011-03-18 |
| 1366569261 | Michael Thomas Carroll | Physical Therapist | 8 Oak St, Port Jervis, NY 12771-1423 | 2007-03-23 |
| 1992715999 | Michael Kevin Carroll | Physical Therapy Assistant | 9401 Fountain Medical Ct, Bonita Springs, FL 34135-4612 | 2006-08-09 |
| 1396774725 | Michael Joseph Carroll | Specialist/Technologist | 2650 W Overhill Dr, Stephenville, TX 76401-1972 | 2006-06-30 |
| 1487655932 | Michael Lindsey Carroll | Internal Medicine | 9208 Elam Rd, Ste 220, Dallas, TX 75217-4178 | 2005-08-09 |
| 1427051291 | Michael C Carroll | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2005-05-24 |
| 1003474172 | Michael Patrick Carroll Jr. | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2019-06-03 |
| Street Address |
1460 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669931259 | American Oncology Partners, P.a. | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2019-03-14 |
| 1649779455 | 21st Century Oncology of Kentucky LLC | Non-Pharmacy Dispensing Site | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2018-02-07 |
| 1922520808 | 21st Century Oncology of Kentucky LLC | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2017-07-12 |
| 1861545287 | M G Carroll,& S P Sheth Ptrs | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2007-01-19 |
| 1790710481 | Mohammad I. Khan | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2006-07-11 |
| 1316948995 | Vijay M Raghavan | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-08-09 |
| 1942201652 | Subhash P Sheth | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1275670788 | Wangjian Zhong | Internal Medicine | 4003 Kresge Way Ste 500, Louisville, KY 40207-5603 | 2007-01-31 |
| 1619946159 | Khuda Dad Khan | Internal Medicine | 315 E Broadway Fl 4, Louisville, KY 40202 | 2006-03-16 |
| 1053318717 | Christopher C Croot | Internal Medicine | 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 | 2005-07-07 |
| 1285084558 | Satish Stephen Maharaj | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2016-06-17 |
| 1295118644 | Drew Carl Drennan Murray | Internal Medicine | 529 S Jackson St, Louisville, KY 40202 | 2015-07-02 |
| 1417367210 | Phuong Tuyet Ngo | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2014-05-01 |
| 1831464940 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| 1568737674 | University of Louisville Physicians, Inc. | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2012-03-22 |
| 1700163326 | Baptist Medical Associates, Inc | Internal Medicine | 2600 Stanley Gault Pkwy, Suite 201, Louisville, KY 40223-4197 | 2011-11-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on DR. MICHAEL G 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.