Jason J Carroll (NPI# 1033417571, PAC ID# 4789843285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033417571 |
| PAC ID by PECOS | 4789843285 |
| Professional Enrollment ID | I20180620003349 |
| Full Name | Jason J Carroll |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Address |
166 4th St E St Paul MN 55101-1421 |
| Phone Number | 6512922000 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 1355251604 |
| Number of Group Practice Members | 481 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240106 | REGIONS HOSPITAL |
| 240038 | ALLINA UNITED HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| 240063 | ST JOSEPH'S HOSPITAL |
| 240115 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 Scholl Ct, Amery, WI 54001-1292 | 7052688000 | MIDWEST RADIOLOGY PA |
| 2945 Hazelwood St, Suite 110, Maplewood, MN 55109-1157 | 6512922000 | MAPLEWOOD IMAGING CENTER, LLC |
| 2600 65th Ave, Osceola, WI 54020-4370 | 7152942111 | MIDWEST RADIOLOGY PA |
| 1629 E Division St, River Falls, WI 54022-1571 | 7153076430 | ALLINA HEALTH SYSTEM |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512922000 | ST PAUL RADIOLOGY OUTPATIENT IMAGING LLC |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512976504 | MIDWEST RADIOLOGY PA |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6512418000 | ALLINA HEALTH SYSTEM |
| 166 4th St E, St Paul, MN 55101-1421 | 6512922000 | ALTRU HEALTH SYSTEM |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Physicians | 472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuka O Nnoli | Physician Assistant | Altru Health System | 607 Demers Ave, East Grand Forks, MN 56721-1833 |
| Amanjit S Baadh | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Jessica K Hartman | Clinical Social Worker | Altru Health System | 860 S Columbia Rd, Grand Forks, ND 58201-4028 |
| Bethany A Knox | Physician Assistant | Altru Health System | 1845 Hwy 59 S, Suite 800, Thief River Falls, MN 56701-4318 |
| Rachel M Pearce | Nurse Practitioner | Altru Health System | 412 Main Ave Ne, Warroad, MN 56763-2342 |
| Erica Lynn Wiegandt | Optometry | Altru Health System | 4440 S Washington St, Grand Forks, ND 58201-7245 |
| Laura A Carlson | Nurse Practitioner | Altru Health System | 3165 Demers Ave, Grand Forks, ND 58201-4049 |
| Emuejevoke Okoh | Gastroenterology | Altru Health System | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 |
| Paul Fleissner | Family Practice | Altru Health System | 1001 7th Nest, Devils Lake, ND 58301-2719 |
| Joseph V Lazzara | Pediatric Medicine | Altru Health System | 715 Delmore Dr, Roseau, MN 56751-1534 |
| Street Address |
166 4TH ST E |
| City | ST PAUL |
| State | MN |
| Zip | 55101-1421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanjit S Baadh | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Mckinley C Lawson | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Don E Wiese Ii | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Paul R Carolan | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| David P Lambert | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Alexandra L Muschenheim | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Mathew J So | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Ryan T Whitesell | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Nicholas J Lange | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Jeffrey H Richards | Psychiatry | South Metro Human Services | 166 4th St E, Suite 200, Saint Paul, MN 55101-1400 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Collin M Torok | Diagnostic Radiology | Altru Health System | 166 4th St E, Saint Paul, MN 55101-1400 |
| Patrice L Lauer-roberts | Clinical Social Worker | South Metro Human Services | 166 4th St E, Suite 200, Saint Paul, MN 55101-1400 |
| Christopher A Jackson | Diagnostic Radiology | Pembina County Memorial Hospital Association | 166 E 4th St, Suite 100, St Paul, MN 55101-1421 |
| Angela W Tai | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Steven C Hommeyer | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Kevin Q Nguyen | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Jeff D Werner | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Jonathan A Phelan | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Sameer Nevile | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Craig Paul Rodriguez | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Find all physicians in zip 55101 | |||
| City | ST PAUL |
| Zip Code | 55101 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ST PAUL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason J 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.