DR. DEBRA MARZELLE CARROLL (NPI# 1699906545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699906545 |
| Entity Type | Individual |
| Full Name | DR. DEBRA MARZELLE CARROLL |
| Credential | M.D., M.P.H. |
| Practice Address |
1313 Park Blvd Rm A-116 San Diego CA 92101-4712 |
| Mailing Address |
501 W Broadway Ste 1340 San Diego CA 92101-3556 |
| Practice Telephone | 6193883450 |
| Mailing Telephone | 6192827172 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
G72627 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295051092 | Debra K Carroll | Nurse Practitioner | 2030 Tecumseh, Manhattan, KS 67431 | 2010-04-19 |
| 1679878581 | Debra Carroll | Registered Nurse | 711 H St Ste 100, Anchorage, AK 99501-3464 | 2011-01-24 |
| 1609050574 | Debra Lynn Carroll | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2007-12-27 |
| 1093753808 | Debra M Carroll | Social Worker | 28 E Main St, Canaan, CT 06018-2508 | 2006-06-03 |
| 1689621146 | Debra J Carroll | Nurse Practitioner | 211 Telford Pike, Telford, PA 18969-2251 | 2006-05-30 |
| Street Address |
1313 PARK BLVD RM A-116 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003251901 | Christine A. Thorne | Preventive Medicine | 330 Lewis St Ste 400, San Diego, CA 92103-2108 | 2013-05-06 |
| 1922363183 | Samuel Park | Preventive Medicine | 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 | 2012-07-12 |
| 1013221506 | Christopher J Phillips | Preventive Medicine | 700 W E St, Unit 1101, San Diego, CA 92101-5990 | 2010-07-27 |
| 1225349442 | Patrick Eugene Olson | Preventive Medicine | 10395 Barrywood Way, San Diego, CA 92131-2214 | 2010-06-23 |
| 1861515280 | Daniel Zisook | Preventive Medicine | 3634 Caminito Carmel Lndg, San Diego, CA 92130-2507 | 2007-04-09 |
| 1164573234 | Amol Narendra Doshi | Preventive Medicine | Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 | 2007-01-16 |
| 1376694802 | Wilma Jean Wooten | Preventive Medicine | 1700 Pacific Hwy Ste 311, San Diego, CA 92101-2417 | 2007-01-12 |
| 1487716411 | Thomas Ross Coleman | Preventive Medicine | 3851 Rosecrans St Ste 522, Ms P511h, San Diego, CA 92110-3115 | 2006-12-15 |
| 1528037827 | Sterling Scott Sherman | Preventive Medicine | 5840 Pacific Haven Ct, San Diego, CA 92121-4347 | 2006-03-17 |
| 1508836222 | James Milton Richards | Preventive Medicine | 7575 Metropolitan Drive, Suite 104, San Diego, CA 92108 | 2006-01-25 |
| Find all providers in SAN DIEGO | ||||
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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.