MR. TIMOTHY MARTIN CARROLL (NPI# 1902446248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902446248 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MARTIN CARROLL |
| Credential | AGACNP-BC |
| Practice Address |
2315 Myrtle St Ste L90 Erie PA 16502-4607 |
| Practice Telephone | 8144527575 |
| Mailing Telephone | 8144527575 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP021146 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1910 Sassafras St Ste 300, Erie, PA 165022716 | 8144527575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694767 | Timothy Field Carroll | Student in an Organized Health Care Education/Training Program | 3435 Dickason Ave Apt 2616, Dallas, TX 75219-4987 | 2020-03-19 |
| 1770600694 | Timothy Carroll | Physical Therapy Assistant | Rr 2 Box 534, Comanche, OK 73529-9677 | 2007-03-24 |
| 1952468787 | Timothy Kennell Carroll | Psychologist | 4790 N Winners Cir Unit A, Palm Springs, CA 92264-5868 | 2007-01-02 |
| 1629173323 | Timothy Carroll | Dentist | 3h Taggart Dr, Nashua, NH 03060-5592 | 2006-09-14 |
| 1235751231 | Timothy Patrick Carroll | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-12 |
| 1639651243 | Timothy Carroll | Physical Therapy Assistant | 7540 N 19th Ave, Phoenix, AZ 85021-7967 | 2018-08-30 |
| 1477031870 | Timothy Ross Carroll | Physician Assistant | 1055 N 500 W Ste 121, Provo, UT 84604-3305 | 2018-07-30 |
| 1215334792 | Timothy Joel Carroll | Pharmacist | 45 Earhart Dr, Suite 110, Amherst, NY 14221-7809 | 2014-11-26 |
| 1891116141 | Timothy Carroll | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-01-03 |
| 1285965616 | Timothy Martin Carroll | Counselor | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2010-01-25 |
| Street Address |
2315 MYRTLE ST STE L90 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286699 | Phillip V Mcallister | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-06-24 |
| 1417519356 | Kristin Nicole Latessa | Physician Assistant | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2019-07-01 |
| 1861944050 | Kaitlyn M Leone | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2016-11-04 |
| 1275937898 | Kaitlyn Ferguson | Physician Assistant | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2014-10-09 |
| 1912326521 | Harshit Shah | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2014-04-10 |
| 1700940277 | Hasan Askari | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-12-20 |
| 1154343218 | Arturo Camacho | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-07-24 |
| 1477531630 | Daniel J Muccio | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-01-06 |
| 1043205214 | Leonard J. Leone | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346544632 | Kimberly M Yorty | Nurse Practitioner | 717 State St, Suite 16, Ll, Erie, PA 16501-1341 | 2011-01-01 |
| 1518438662 | Kim Marie Raines | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2018-12-16 |
| 1568871598 | Carmen Henderson | Nurse Practitioner | 118 E 2nd St, Erie, PA 16507-1502 | 2014-08-04 |
| 1194165894 | Sean P Dent | Nurse Practitioner | 201 State St, Erie, PA 16550-0002 | 2013-06-27 |
| 1366776148 | Naomi Teperow | Nurse Practitioner | 120 E 2nd St, Suite 400, Erie, PA 16507-1537 | 2009-09-25 |
| 1396856332 | Heron Faith Warren | Nurse Practitioner | 135 E 38th St, Erie, PA 16504-1559 | 2006-08-31 |
| 1548288434 | Noreen M Kempinski | Nurse Practitioner | 232 W 25th St, Erie, PA 16544-0002 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496575 | Albert Abbo | Nurse Practitioner | 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 | 2020-10-30 |
| 1902411721 | Sean Arthur Deiter | Nurse Practitioner | 3619 Gypsy Ln, Philadelphia, PA 19129-1612 | 2020-09-09 |
| 1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
| 1700499969 | Maliha Amjed | Nurse Practitioner | 261 Old York Rd Ste 724, Jenkintown, PA 19046-3725 | 2020-08-27 |
| 1821606989 | Tony George | Nurse Practitioner | 1228 Meinel Rd, Huntingdon Valley, PA 19006-8412 | 2020-07-15 |
| 1780292854 | Malroney Mclean | Nurse Practitioner | 5300 Birney Hwy, Aston, PA 19014-1597 | 2020-07-15 |
| 1093336174 | Abdul Rahman Sesay | Nurse Practitioner | 741 Sharon Ave, Collingdale, PA 19023-3531 | 2020-04-30 |
| 1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
| 1235777863 | Kari Flynn | Nurse Practitioner | 255 W Lancaster Ave Ste 124, Paoli, PA 19301-1764 | 2019-12-13 |
| 1972149839 | Andrea Rivera Rodriguez | Nurse Practitioner | 1250 S Cedar Crest Blvd # 250, Allentown, PA 18103-6224 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.