MICHAEL CARROLL (NPI# 1710481544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710481544 |
| Entity Type | Individual |
| Full Name | MICHAEL CARROLL |
| Practice Address |
8170 Denver Rd Waverly OH 45690-9535 |
| Practice Telephone | 7407084178 |
| Mailing Telephone | 7407084178 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485919 | Michael John Carroll | Dietitian, Registered | 276 Randolph Ave, East Rutherford, NJ 07073-1345 | 2019-03-11 |
| 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 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 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 |
8170 DENVER RD |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-9535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801280540 | Andrew Toy | Specialist/Technologist | 14731 Oak Ln, Waverly, NE 68462-1552 | 2015-03-19 |
| 1427382696 | Mandi Jo Drees | Specialist/Technologist | 313 24th St Nw, Apt 9, Waverly, IA 50677-1829 | 2009-09-21 |
| 1154357036 | Paul A Scheuch Jr. | Specialist/Technologist | 517 Clinton St, Waverly, PA 18471-0350 | 2006-06-23 |
| 1770197634 | Jessica Ann Albright | Specialist/Technologist | 100 Wartburg Blvd, Waverly, IA 50677-2215 | 2020-09-08 |
| 1578171294 | Rachel Hannah Cassens | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-07-20 |
| 1538721394 | Shelby Marie Reiter | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-07-02 |
| 1295124659 | Emily Link | Specialist/Technologist | 100 Wartburg Blvd, Waverly, IA 50677-0903 | 2015-01-22 |
| 1144469545 | Tracy Jo Steffen | Specialist/Technologist | 100 Wartburg Blvd, Dept. of Athletics - Wartburg College, Waverly, IA 50677-2215 | 2009-02-10 |
| 1710125455 | Samantha Lucille Radel | Specialist/Technologist | 100 Wartburg Blvd, Department of Athletics-wartburg College, Waverly, IA 50677-2215 | 2009-02-03 |
| 1124205505 | Anthony Shane Wells | Specialist/Technologist | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-28 |
| Find all providers in WAVERLY | ||||
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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.