DR. KARISA CARROLL (NPI# 1619380888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619380888 |
| Entity Type | Individual |
| Full Name | DR. KARISA CARROLL |
| Credential | D.D.S. |
| Practice Address |
3601 A St St. Christopher's Hospital for Children Philadelphia PA 19134-1043 |
| Mailing Address |
918 N Front St Philadelphia PA 19123-1700 |
| Practice Telephone | 2154275000 |
| Mailing Telephone | 6312453146 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0000000 | PA | Dental Providers |
| Street Address |
3601 A ST ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545095 | Richard Henry Parrish II | Pharmacist | 3601 A St, Philadelphia, PA 19134-1043 | 2005-08-12 |
| 1912546813 | Kelsey Cakanac | Registered Nurse | 3601 A St, Philadelphia, PA 19134-1043 | 2019-12-26 |
| 1932682671 | Temple Faculty Practice Plan, Inc | Pediatrics | 3601 A St, Philadelphia, PA 19134-1043 | 2018-09-10 |
| 1730597360 | Kelly Wheeler | Nurse Practitioner | 3601 A St, Philadelphia, PA 19134-1043 | 2014-07-28 |
| 1124434634 | Chelsea Eppolito | Dentist | 3601 A St, Philadelphia, PA 19134-1043 | 2014-07-03 |
| 1316350366 | Charlene Jones | General Acute Care Hospital | 3601 A St, Philadelphia, PA 19134-1043 | 2014-06-07 |
| 1629480470 | Manette Ness-cochinwala | Pediatrics | 3601 A St, Philadelphia, PA 19134-1043 | 2014-05-28 |
| 1689086423 | Sophia Baig | Pediatrics | 3601 A St, Philadelphia, PA 19134-1043 | 2014-05-28 |
| 1720490055 | Jeannette Giammattei | Pediatrics | 3601 A St, Philadelphia, PA 19134-1043 | 2014-05-21 |
| 1366854796 | Janine Gale | Pediatrics | 3601 A St, Philadelphia, PA 19134-1043 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544008 | Lauren Julie Harper | Dentist | 8566 Bustleton Ave, Philadelphia, PA 19152-1218 | 2014-06-30 |
| 1871933036 | Mara Teplitsky | Dentist | 1616 Walnut St Apt 401, Philadelphia, PA 19103-5323 | 2013-07-02 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1356570352 | Rosana Rosentrater | Dentist | 240 South 40th St Suite F-17, University of Pennsylvania School of Dental Medicine, Philadelphia, PA 19104-6003 | 2009-07-11 |
| 1790935898 | Monika Srivastava | Dentist | 1352 South St # C5c4, Philadelphia, PA 19147-1858 | 2008-09-25 |
| 1255594842 | Dana Kristanne Chianese | Dentist | 2301 E Allegheny Ave Ste 201, Philadelphia, PA 19134-4427 | 2008-07-03 |
| 1548464761 | George Thomas Lynch Iv | Dentist | 1352 South St, C5, Philadelphia, PA 19147-1858 | 2007-06-12 |
| 1053513614 | Rajbir Sanghvi | Dentist | 1835 Arch St Apt 903, Philadelphia, PA 19103-2779 | 2007-06-04 |
| 1477631562 | Howard Marvin Rosenberg | Dentist | 4001 Spruce St, Pediatric Dentistry, Philadelphia, PA 19104-4118 | 2006-11-02 |
| 1669402517 | Douglas Richard Reich | Dentist | 7122 Rising Sun Ave, Philadelphia, PA 19111-3957 | 2006-07-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
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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.