DR. CHRISTOPHER MICHAEL CARROLL (NPI# 1811378094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811378094 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER MICHAEL CARROLL |
Credential | D.O. |
Practice Address |
1 Medical Center Dr Ste 162 Stratford NJ 08084-1500 |
Practice Telephone | 8565666708 |
Enumeration Date | 2015-06-14 |
Last Update Date | 2015-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205389335 | Christopher Shane Carroll | Nurse Practitioner | 10706 Marlboro Ave., Barnwell, SC 29812-2516 | 2016-07-25 |
1558628412 | Christopher Patrick Carroll | Neurological Surgery | 1515 Sw Archer Road, Department of Neurosurgery, Gainesville, FL 32610 | 2012-04-17 |
1598884215 | Christopher Carroll | Physical Therapist | 9119 Shadow Glen Way, Fort Myers, FL 33913-6602 | 2007-03-28 |
1952470858 | Christopher B Carroll | Psychologist | 7 Bluff Rd, Glen Cove, NY 11542-1770 | 2006-11-06 |
1871570556 | Christopher E Carroll | Dentist | 150 East Fourth St, Winona, MN 55987-3512 | 2005-12-23 |
1053971838 | Christopher Allen Carroll | Physical Therapist | 1409 Highway 62 65 N Ste 4, Harrison, AR 72601-1970 | 2019-06-14 |
1255897542 | Christopher Carroll | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-12 |
1174004089 | Christopher Carroll | Pharmacist | 100 E College Dr, Colby, KS 67701-3702 | 2018-08-28 |
1043317647 | Christopher Scott Carroll | Dentist | 4535 Normal Blvd, Ste 292, Lincoln, NE 68506 | 2006-09-19 |
1003918673 | Christopher Patrick Carroll | Family Medicine | 9400 Turkey Lake Rd, Orlando, FL 32819-8001 | 2006-09-02 |
Street Address |
1 MEDICAL CENTER DR STE 162 |
City | STRATFORD |
State | NJ |
Zip Code | 08084-1500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457732760 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-11 |
1992320873 | Mary Peeples | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-16 |
1154946010 | Stephanie Anne Sandoval | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-16 |
1700401866 | Richard Choueiri | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-14 |
1093330151 | Sean Ly | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-14 |
1831714088 | Tyler Jordan Sauerbeck | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-13 |
1932724184 | Charla Holdren | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-13 |
1538782701 | Young Son | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-05-22 |
1346802089 | Lauren Ann Hutka | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2019-07-02 |
1447811799 | Breanna Raquel Benjamin | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2019-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
Find all providers in zip 08084 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
1871118935 | Duwayne George Campbell | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd Ste 2100a, Stratford, NJ 08084-1327 | 2020-06-14 |
1982229241 | Melissa Jelaso | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 3600, Stratford, NJ 08084-1354 | 2020-06-12 |
1326677923 | Carly Margaret Fabbri | Student in an Organized Health Care Education/Training Program | 165 Butternut Ln, Stratford, CT 06614-2457 | 2020-04-06 |
1558922153 | Nicholas James Minissale | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 172, Stratford, NJ 08084-1500 | 2019-06-25 |
1326606435 | Stephanie Kwan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 146, Stratford, NJ 08084-1500 | 2019-06-04 |
1053979674 | Stephen Robert Kruger | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 2001a, Stratford, NJ 08084-1354 | 2019-05-29 |
1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
1063906345 | Tania Maheshwari | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd # 2100a, Stratford, NJ 08084-1354 | 2018-06-19 |
1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
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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.