SHANNON L CARROLL (NPI# 1912153172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912153172 |
| Entity Type | Individual |
| Full Name | SHANNON L CARROLL |
| Credential | MD |
| Practice Address |
701 19th St S Birmingham AL 35294-0001 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059753030 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
32803 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417503152 | Shannon C Carroll | In Home Supportive Care | 405 Buchanan St, Richlands, VA 24641-2414 | 2019-08-16 |
| 1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
| 1518440429 | Shannon Mikeal Carroll | Social Worker | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-09-07 |
| 1043754955 | Shannon Carroll | Counselor | 120 N Roanoke, Hines, OR 97738 | 2016-12-12 |
| 1740639376 | Shannon Grace Carroll | Speech-Language Pathologist | 12908 Kachina Pl Ne Apt C, Albuquerque, NM 87112-3706 | 2016-06-04 |
| 1912251273 | Shannon Carroll | Speech-Language Pathologist | 7719 224th St E, Graham, WA 98338-7361 | 2012-11-07 |
| 1649737065 | Shannon Carroll | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2019-02-21 |
| 1760955405 | Shannon Leigh Carroll | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2019-01-04 |
| 1639658412 | Shannon Michael Carroll | Physical Therapist | 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 | 2018-08-12 |
| 1932592797 | Shannon Carroll | Family Medicine | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2015-03-17 |
| Street Address |
701 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35294-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871543769 | Steven John Thomas | Plastic Surgery | 701 19th St S, 112 Lyons-harrison Research Bulding, Birmingham, AL 35233-1926 | 2006-05-11 |
| 1538794540 | Alexis Reid | Nurse Practitioner | 701 19th St S, Birmingham, AL 35294-0001 | 2020-03-10 |
| 1215487905 | Ashley Anderson | Nurse Practitioner | 701 19th St S, Lhrb 509, Birmingham, AL 35233-1926 | 2016-10-06 |
| 1548423312 | Katherine Landry Gaston | Physician Assistant | 701 19th St S, Lhr 112, Birmingham, AL 35294-0001 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1295235372 | Ruben Angiolo Mazzucchelli | Student in an Organized Health Care Education/Training Program | 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 | 2018-02-15 |
| 1528571981 | Alison Rachel Thomas | Social Worker | Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 | 2017-11-08 |
| 1346752490 | Sara Michelle Kimbrell | Nurse Practitioner | 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 | 2017-10-30 |
| 1801338785 | Melissa Robinson | Specialist/Technologist | 608 13th St South, Wb104, Birmingham, AL 35294 | 2016-11-09 |
| 1487020897 | Heriberto Enrique Matos Santana | Student in an Organized Health Care Education/Training Program | 1900 University Blvd Tht Building 311, Birmingham, AL 35294 | 2015-08-19 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1407257629 | Kathryn Johannah Langley | Nurse Practitioner | 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 | 2014-09-08 |
| 1427463702 | Lakeshia Thomas | Student in an Organized Health Care Education/Training Program | 1919-7th Avenue South, 304a, Birmingham, AL 35294 | 2014-06-25 |
| Find all providers in zip 35294 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234018 | Jonathan Andrew Black | Surgery | 701 19th St S 112 Lyons Harrison Research Building, Birmingham, AL 35294-7050 | 2013-06-10 |
| 1558520106 | Rondi Beth Gelbard | Surgery | 701 S 19th Street, Birmingham, AL 35294 | 2008-06-07 |
| 1164935672 | Jan Olaf Jansen | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2017-11-07 |
| 1417275132 | Rachel Dowlen Rodriguez | Surgery | 619 S 19th St, Birmingham, AL 35249-0001 | 2010-05-05 |
| 1376703959 | James Hwang | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2008-06-17 |
| 1093706467 | John Bradley Holcomb | Surgery | 619 19th St S, Birmingham, AL 35249 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265508626 | Healthcare Authority of The City of Huntsville | Surgery | 201 Sivley Rd Sw Ste 400, Huntsville, AL 35801-5177 | 2006-11-28 |
| 1073553897 | James M Corder IIi | Surgery | 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 | 2006-06-08 |
| 1114330008 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2014-06-09 |
| 1730236555 | Farin Wayne Smith | Surgery | 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 | 2007-01-04 |
| 1659454254 | John Mark Vermillion | Surgery | 2055 East South Blvd, Suite 601, Montgomery, AL 36116-0000 | 2006-10-24 |
| 1487675740 | Sidney B Brevard | Surgery | 2451 Fillingim St, Mobile, AL 36617-2238 | 2006-07-22 |
| City | BIRMINGHAM |
| Zip Code | 35294 |
Please comment or provide details below to improve the information on SHANNON L CARROLL.
| 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.