JUDITH S CARROLL


Address: 1601 Borbeck Ave, Philadelphia, PA 19111-3512
Phone: 2153428258

JUDITH S CARROLL (NPI# 1740323211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740323211
Entity Type Individual
Full Name JUDITH S CARROLL
Credential M.D.
Practice Address 1601 Borbeck Ave
Philadelphia
PA 19111-3512
Practice Telephone 2153428258
Mailing Telephone 2153428258
Enumeration Date 2007-02-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
150594 MA Allopathic & Osteopathic Physicians

Other Providers JUDITH CARROLL

NPI Name Taxonomy Address Enumeration
1316265440 Judith Lynn Carroll Social Worker 7422 E Placita Rio Cabo, Tucson, AZ 85715-2827 2010-05-13
1548352677 Judith G Carroll Psychologist 5594 Tylertown Ave, Bartlett, TN 38134-3356 2006-09-28
1942742960 Judith Carroll Counselor 36 Public Ave, Montrose, PA 18801-1603 2016-11-08
1265857999 Judith Lynn Carroll Social Worker 2428 N Stokesberry Pl, Meridian, ID 83646-5035 2014-03-05
1982906897 Judith M Carroll Registered Nurse 650 E Indian School Rd, Phoenix, AZ 85012-1839 2010-11-29
1205069796 Judith Ann Carroll Counselor 6885 Old Hwy 53, Clearlake, CA 95422 2009-08-31
1447393558 Judith Tammy Carroll Nurse Practitioner 333 Washington Ave N, Suite 5000, Minneapolis, MN 55401-1377 2007-02-15

Office Location

Street Address 1601 BORBECK AVE
City PHILADELPHIA
State PA
Zip Code 19111-3512

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NPI Name Taxonomy Address Enumeration
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1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275824443 Jessica Rose Wilson Internal Medicine 3400 Civic Center Blvd Ste 400, Philadelphia, PA 19104-5127 2011-04-22
1558558304 Lubna M Zuberi Internal Medicine 211 S 9th St Ste 600, Philadelphia, PA 19107-6810 2007-09-26
1821064015 Andrew R Quint Internal Medicine 4510 Frankford Ave, Philadelphia, PA 19124-3602 2006-02-27
1063483469 Claresa S Levetan Internal Medicine 2130 Spring Garden Street, Philadelphia, PA 19130 2006-02-01
1609358563 Temple Faculty Practice Plan, Inc Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1194207134 Temple Faculty Practice Plan Inc Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1760990741 Lori Ann Maloney Internal Medicine 3737 Market St, 3rd Fl, Philadelphia, PA 19104-9905 2018-01-12
1457862443 Methodist Associates In Healthcare, Inc Internal Medicine 2130 Spring Garden Street, 1st Floor, Philadelphia, PA 19130-3502 2017-10-17
1821521212 Chandriya Chandran Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2017-04-04
1124560081 Aria Health Physician Services Internal Medicine 9501 Roosevelt Blvd, Suite 400, Philadelphia, PA 19114-1025 2016-11-09
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Competitor

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City PHILADELPHIA
Zip Code 19111

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Dataset Information

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.

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