| Carroll Health Group, Llc | |
|
193 Stoner Ave Suite 110 Westminster MD 21157-5587 | |
| (410) 871-6502 | |
| Not Available |
| Full Name | Carroll Health Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 193 Stoner Ave, Westminster, Maryland |
| Authorized Official Name and Position | Michael Myers (VICE PRESIDENT) |
| Authorized Official Contact | 4108716114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Health Group, Llc 193 Stoner Ave Suite 110 Westminster MD 21157-5587 Ph: (410) 871-6502 | Carroll Health Group, Llc 193 Stoner Ave Suite 110 Westminster MD 21157-5587 Ph: (410) 871-6502 |
| NPI Number | 1437473550 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 3870627029 |
|---|---|
| Medicare Enrollment ID | O20100810000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437473550 | NPI | - | NPPES |
| 456104000 | Medicaid | MD |
| Provider Name | Fadi D Abdallah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881620573 PECOS PAC ID: 5698753408 Enrollment ID: I20040708001431 |
| Provider Name | Sandip Hirpara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407935422 PECOS PAC ID: 5395709992 Enrollment ID: I20041115000067 |
| Provider Name | John A Steers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932115250 PECOS PAC ID: 1355398108 Enrollment ID: I20050405000251 |
| Provider Name | Dona Carol Hobart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740397991 PECOS PAC ID: 6608814819 Enrollment ID: I20050420001202 |
| Provider Name | Susan Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720164320 PECOS PAC ID: 4880611458 Enrollment ID: I20051102000358 |
| Provider Name | Sarah K Lentz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023040185 PECOS PAC ID: 6507862299 Enrollment ID: I20061020000356 |
| Provider Name | Ruth M Shaw-taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558386532 PECOS PAC ID: 4688629652 Enrollment ID: I20080604000069 |
| Provider Name | Patricia Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760657662 PECOS PAC ID: 1951478130 Enrollment ID: I20080930000621 |
| Provider Name | Evan J Selsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659365682 PECOS PAC ID: 0941365993 Enrollment ID: I20090209000165 |
| Provider Name | Marjorie L Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083686448 PECOS PAC ID: 3173688132 Enrollment ID: I20090209000287 |
| Provider Name | Melissa Jones Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528187028 PECOS PAC ID: 1456416163 Enrollment ID: I20090212000494 |
| Provider Name | Michael G Eyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033368337 PECOS PAC ID: 3577502459 Enrollment ID: I20090403000346 |
| Provider Name | John Blue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275579997 PECOS PAC ID: 4880776202 Enrollment ID: I20090520000270 |
| Provider Name | Mahfuzul H Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760625701 PECOS PAC ID: 9133270226 Enrollment ID: I20090701000169 |
| Provider Name | Radhika Kuna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326028473 PECOS PAC ID: 6305881624 Enrollment ID: I20090817000083 |
| Provider Name | Yatin R Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053580373 PECOS PAC ID: 5294809505 Enrollment ID: I20090819000028 |
| Provider Name | Leonid A Levin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487871794 PECOS PAC ID: 3072650860 Enrollment ID: I20091028000029 |
| Provider Name | Norman I Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194731364 PECOS PAC ID: 3274668199 Enrollment ID: I20100317000851 |
| Provider Name | John A Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700115292 PECOS PAC ID: 0648306449 Enrollment ID: I20100331000845 |
| Provider Name | Thomas K Galvin Iii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164415352 PECOS PAC ID: 2264625151 Enrollment ID: I20101025000081 |
| Provider Name | Aminat Oluyemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023211646 PECOS PAC ID: 0840488961 Enrollment ID: I20101216000123 |
| Provider Name | David Allen Silber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487690525 PECOS PAC ID: 3678640158 Enrollment ID: I20101217000418 |
| Provider Name | Victoria V Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063699569 PECOS PAC ID: 8022178599 Enrollment ID: I20101217000639 |
| Provider Name | Judith A Stambaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033429261 PECOS PAC ID: 2860672698 Enrollment ID: I20110210000476 |
| Provider Name | Ernesto M Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578515037 PECOS PAC ID: 1658555172 Enrollment ID: I20110407000541 |
| Provider Name | Myles David Brager |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790710812 PECOS PAC ID: 1557435625 Enrollment ID: I20110607000660 |
| Provider Name | Sandra K Ruby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104966803 PECOS PAC ID: 0244418218 Enrollment ID: I20110621000535 |
| Provider Name | Samuel Matz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902831951 PECOS PAC ID: 7113915141 Enrollment ID: I20110707000393 |
| Provider Name | Vincent J Rollo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134154248 PECOS PAC ID: 9032286513 Enrollment ID: I20110914000080 |
| Provider Name | Olga Demina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467633768 PECOS PAC ID: 9537236500 Enrollment ID: I20110926000114 |
| Provider Name | Terri W Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902882459 PECOS PAC ID: 7618140849 Enrollment ID: I20111102000738 |
| Provider Name | Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972584233 PECOS PAC ID: 1052483112 Enrollment ID: I20111108000478 |
| Provider Name | Temilolu O Aje |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083816987 PECOS PAC ID: 1951564509 Enrollment ID: I20120518000432 |
| Provider Name | Huong Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437151255 PECOS PAC ID: 8224292867 Enrollment ID: I20120612000479 |
| Provider Name | Brian Barr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306007398 PECOS PAC ID: 7315183647 Enrollment ID: I20130411000345 |
| Provider Name | Natasha Annor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003107970 PECOS PAC ID: 5496996522 Enrollment ID: I20130801000046 |
| Provider Name | Gabriel Alfonso Del Corral |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649390923 PECOS PAC ID: 4587806195 Enrollment ID: I20130812000230 |
| Provider Name | Vasu D Balu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659504777 PECOS PAC ID: 0143463984 Enrollment ID: I20130827000556 |
| Provider Name | Aboubakr Khairat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720246358 PECOS PAC ID: 3678707700 Enrollment ID: I20131003000410 |
| Provider Name | Sara Schwab Loeffler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508181520 PECOS PAC ID: 7315173655 Enrollment ID: I20131115000540 |
| Provider Name | Cherelle D Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306269089 PECOS PAC ID: 2264661305 Enrollment ID: I20140212000791 |
| Provider Name | Saher Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275744161 PECOS PAC ID: 9133387277 Enrollment ID: I20141126001411 |
| Provider Name | Julie L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669878427 PECOS PAC ID: 8022331578 Enrollment ID: I20150108001022 |
| Provider Name | Jessica E Mazzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518203538 PECOS PAC ID: 2264666957 Enrollment ID: I20150324002201 |
| Provider Name | Christina Rizoulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225458672 PECOS PAC ID: 5698092567 Enrollment ID: I20150402001939 |
| Provider Name | Yelena Gimelshteyn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336376292 PECOS PAC ID: 4284883984 Enrollment ID: I20150820011552 |
| Provider Name | Christina L Cervieri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164427423 PECOS PAC ID: 8224026208 Enrollment ID: I20151111000578 |
| Provider Name | Stephanie Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457617664 PECOS PAC ID: 9436459724 Enrollment ID: I20151118000059 |
| Provider Name | Daniel J Kirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578528550 PECOS PAC ID: 6800971870 Enrollment ID: I20151120000326 |
| Provider Name | Serena T Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851750392 PECOS PAC ID: 1254636251 Enrollment ID: I20160301000559 |
| Provider Name | Sunil Gurung |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134380199 PECOS PAC ID: 9537213533 Enrollment ID: I20160831001735 |
| Provider Name | Benjamin Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407058308 PECOS PAC ID: 2567650971 Enrollment ID: I20160922000913 |
| Provider Name | Emmerita A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629306030 PECOS PAC ID: 9931237872 Enrollment ID: I20161013001528 |
| Provider Name | Aruna Bollineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871758037 PECOS PAC ID: 8325296171 Enrollment ID: I20161121000843 |
| Provider Name | Raul Sebastian Laines |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144512682 PECOS PAC ID: 7113208646 Enrollment ID: I20161221001143 |
| Provider Name | Kristin Keeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314857 PECOS PAC ID: 6103101019 Enrollment ID: I20170315002204 |
| Provider Name | Carolyn Calleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295270445 PECOS PAC ID: 0749566149 Enrollment ID: I20170420000271 |
| Provider Name | Madhu Sreekanth Jasti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114231545 PECOS PAC ID: 5597905703 Enrollment ID: I20170510001154 |
| Provider Name | Kristin Kelley-higgins Adelmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477063014 PECOS PAC ID: 4688932452 Enrollment ID: I20171228000149 |
| Provider Name | Amanda C Harbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508011354 PECOS PAC ID: 0446313183 Enrollment ID: I20180514002832 |
| Provider Name | Jonathan M Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487843405 PECOS PAC ID: 6305004516 Enrollment ID: I20180612002523 |
| Provider Name | Tuesday Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902227 PECOS PAC ID: 2769547207 Enrollment ID: I20180711000168 |
| Provider Name | Abid Ali Fakhri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518159276 PECOS PAC ID: 7315123957 Enrollment ID: I20180816000183 |
| Provider Name | Asghar Ali Fakhri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265621031 PECOS PAC ID: 0244389245 Enrollment ID: I20180823000895 |
| Provider Name | Ning Jiang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841430188 PECOS PAC ID: 1456521368 Enrollment ID: I20181129000023 |
| Provider Name | Katie Barritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336543289 PECOS PAC ID: 7517201031 Enrollment ID: I20181210001971 |
| Provider Name | Kisha Lorraine Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689693335 PECOS PAC ID: 9032398565 Enrollment ID: I20190408001152 |
| Provider Name | Naga L Pannala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20190408002592 |
| Provider Name | Lucas Couch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881043016 PECOS PAC ID: 8729373527 Enrollment ID: I20190802000544 |
| Provider Name | Jessica Elizabeth Walker Medani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922453109 PECOS PAC ID: 5193010478 Enrollment ID: I20190807000130 |
| Provider Name | Sheila Lynn Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831732163 PECOS PAC ID: 5890129803 Enrollment ID: I20191230000644 |
| Provider Name | Jay Mittal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275851768 PECOS PAC ID: 1052611852 Enrollment ID: I20200107001533 |
| Provider Name | Eleni W Goshu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932741972 PECOS PAC ID: 7315372836 Enrollment ID: I20200110000838 |
| Provider Name | Andrew Blakely |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386962603 PECOS PAC ID: 3274753090 Enrollment ID: I20200116002159 |
| Provider Name | Korlett Y Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558867887 PECOS PAC ID: 6406286244 Enrollment ID: I20200420001371 |
| Provider Name | Susan Louise Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093332645 PECOS PAC ID: 2668896663 Enrollment ID: I20200723001620 |
| Provider Name | Esther I Ezeani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548805120 PECOS PAC ID: 4284049982 Enrollment ID: I20210210000965 |
| Provider Name | Amanda Elizabeth Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598338378 PECOS PAC ID: 1951708866 Enrollment ID: I20210920002993 |
| Provider Name | Angela Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649842600 PECOS PAC ID: 2769872142 Enrollment ID: I20211129000106 |
| Provider Name | Austin Christopher Nabet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891034393 PECOS PAC ID: 7315343209 Enrollment ID: I20220609000344 |
| Provider Name | Kasey Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447995030 PECOS PAC ID: 5890178529 Enrollment ID: I20220812003150 |
| Provider Name | Arif Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134507437 PECOS PAC ID: 2961833058 Enrollment ID: I20220829002683 |
| Provider Name | Anthony Velott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649633769 PECOS PAC ID: 7911308432 Enrollment ID: I20220926000500 |
| Provider Name | Sophia Livaditis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696592 PECOS PAC ID: 1658792312 Enrollment ID: I20221007000029 |
| Provider Name | Cynthia Melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952718330 PECOS PAC ID: 1658709811 Enrollment ID: I20221201003226 |
| Provider Name | Tracey Hongtong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033823513 PECOS PAC ID: 3274904263 Enrollment ID: I20230131001087 |
| Provider Name | Shannon Rosenbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497158851 PECOS PAC ID: 7517236474 Enrollment ID: I20230307001363 |
| Provider Name | Sarita Goud |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598281784 PECOS PAC ID: 9537583620 Enrollment ID: I20230614001516 |
| Provider Name | Trisha Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316608060 PECOS PAC ID: 0143680934 Enrollment ID: I20230712000232 |
| Provider Name | Cashmere O'neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770950883 PECOS PAC ID: 2961852991 Enrollment ID: I20240103000901 |
| Provider Name | Mark Olszyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295759207 PECOS PAC ID: 6204720949 Enrollment ID: I20240426000056 |
| Provider Name | Sean Riley Smithson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467133348 PECOS PAC ID: 2062853922 Enrollment ID: I20240509003619 |
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