Jennifer Carroll (NPI# 1356606594, PAC ID# 1759539190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1356606594 |
| PAC ID by PECOS | 1759539190 |
| Professional Enrollment ID | I20120910000752 |
| Full Name | Jennifer Carroll |
| Organization Legal Name | ASSOCIATED ANESTHESIOLOGISTS, S.C. |
| Address |
8800 State Route 91 Peoria IL 61615-9473 |
| Phone Number | 3096835000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6305744129 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140013 | PROCTOR HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8800 State Route 91, Peoria, IL 61615-9473 | 3096835000 | ASSOCIATED ANESTHESIOLOGISTS, S.C. |
| Organization Legal Name | ASSOCIATED ANESTHESIOLOGISTS, S.C. |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy L Krock | Anesthesiology | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Martin J Hurd | Anesthesiology | Associated Anesthesiologists, S.c. | 8600 State Route 91 250, Peoria, IL 61615-7831 |
| A Ghafoor Baha | Anesthesiology | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Michael D Tiblandi | Anesthesiology | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-7831 |
| John D Marshall | Anesthesiology | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-7831 |
| Todd Ladage | Certified Registered Nurse Anesthetist (crna) | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Jamie R. Rynearson | Certified Registered Nurse Anesthetist (crna) | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Curt R Crecelius | Certified Registered Nurse Anesthetist (crna) | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Daniel M Cooley | Anesthesiology | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Tammy Abbott | Certified Registered Nurse Anesthetist (crna) | Associated Anesthesiologists, S.c. | 8600 N State Route 91 250, Peoria, IL 61615-9542 |
| Street Address |
8800 STATE ROUTE 91 |
| City | PEORIA |
| State | IL |
| Zip | 61615-9473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Q Mcmanus | Geriatric Medicine | Saint Francis Medical Center | 8800 State Route 91, Peoria, IL 61615-9473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Jeffrey Y Liang | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 10322 N Juliet Ct, Peoria, IL 61615-1199 |
| Matthew Carr | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Abby G Freckleton | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Susannah Dintzis | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Michael J Pace | Family Practice | Methodist Medical Center of Illinois | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Amanda Miriam Kilgore | Physical Therapy | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Michael Dominic Tarantino | Hematology/oncology | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | |
| Rohith Jesudas | Pediatric Medicine | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Elizabeth A Lepper | Nurse Practitioner | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Find all physicians in zip 61615 | |||
| City | PEORIA |
| Zip Code | 61615 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PEORIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jennifer Carroll.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.