SHANNON CARROLL (NPI# 1932592797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932592797 |
| Entity Type | Individual |
| Full Name | SHANNON CARROLL |
| Credential | D.O. |
| Practice Address |
1250 N Bellflower Blvd Long Beach CA 90840-0004 |
| Practice Telephone | 5629854771 |
| Mailing Telephone | 5629854771 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
DO1816 | 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 |
| 1932515962 | Shannon Eugene Carroll | Nurse Practitioner | 726 Broadway, Suite 471, New York, NY 10003-9502 | 2014-07-10 |
| Street Address |
1250 N BELLFLOWER BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90840-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639190606 | State of California | Pharmacy | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2006-07-22 |
| 1184234221 | Meghann Mccall-o'dell | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-08-04 |
| 1578172722 | Edith Kuet | Marriage & Family Therapist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-07-23 |
| 1033731435 | Kholoud Khalil | Clinical Nurse Specialist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-05-08 |
| 1609421486 | Nancy Solorzano | Social Worker | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2019-08-07 |
| 1073004305 | Christopher Snow | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-05-22 |
| 1518469378 | Micah Ebanculla | Student in an Organized Health Care Education/Training Program | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-03-07 |
| 1518469139 | Tyler Warren Huesca | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-02-28 |
| 1023518511 | Claire E Stovall | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-02-20 |
| 1528568318 | Jonathan Shinji Nakamine | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2018-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881972719 | Kathleen Elizabeth Hollwig | Marriage & Family Therapist | 101 Mail Street, Suite F, Seal Beach, CA 90840 | 2011-07-26 |
| 1538377056 | James Edward Koval | Marriage & Family Therapist | Family and Consumer Sciences, Csulb, Long Beach, CA 90840 | 2007-05-18 |
| 1710047220 | Rosemary Tilmon-kellum | Physician Assistant | 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 | 2006-12-12 |
| 1558993147 | Steven Ryan Tran | Physical Therapist | 1250 Bellflower Blvd, Kin-105, Long Beach, CA 90840 | 2020-02-11 |
| 1790286482 | Justin Caovan | Student in an Organized Health Care Education/Training Program | 1250 Bellflower Blvd, Long Beach, CA 90840 | 2018-02-27 |
| 1174006787 | Ryan Gray | Physical Therapist | 1250 Bellflower Blvd Kinesiology Building Rm 105, Long Beach, CA 90840-0001 | 2018-09-10 |
| 1457855421 | Gayle Early | Nurse Practitioner | 1250 Bellflower Blvd School of Nursing, Long Beach, CA 90840-0001 | 2018-03-22 |
| 1194293472 | Dmitry Foox | Physical Therapist | 1250 N Bellflower Blvd # Et130, Long Beach, CA 90840-0004 | 2018-11-05 |
| 1760542252 | Laurel Jean Babcock Gill | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
| 1700946209 | Michael Nicholas Carbuto | Family Medicine | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
| Find all providers in zip 90840 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447516513 | Joshua Snodgrass | Family Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90840 |
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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.