| Carroll Medical Group | |
|
4231 N Woods Trl Hampstead MD 21074-3128 | |
| (410) 374-9391 | |
| (410) 374-1866 |
| Full Name | Carroll Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4231 N Woods Trl, Hampstead, Maryland |
| Authorized Official Name and Position | Mary Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Medical Group 4231 N Woods Trl Hampstead MD 21074-3128 Ph: (410) 374-9391 | Carroll Medical Group 4231 N Woods Trl Hampstead MD 21074-3128 Ph: (410) 374-9391 |
| NPI Number | 1811398175 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 2769709393 |
|---|---|
| Medicare Enrollment ID | O20150319001691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811398175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maryland) | Primary |
| Provider Name | Sarah Jennifer Frattali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649344409 PECOS PAC ID: 8426077348 Enrollment ID: I20051121000070 |
| Provider Name | Rebecca A Goedeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396819165 PECOS PAC ID: 0446324164 Enrollment ID: I20080729000705 |
| Provider Name | Domingo A Rocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760490023 PECOS PAC ID: 8022037944 Enrollment ID: I20080821000187 |
| Provider Name | Oluwatoyin C Adisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013156181 PECOS PAC ID: 0840326088 Enrollment ID: I20111103000407 |
| Provider Name | Cynthia Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205116795 PECOS PAC ID: 6709019037 Enrollment ID: I20140512001181 |
| Provider Name | Ejikeme U Nwokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457304396 PECOS PAC ID: 3375554470 Enrollment ID: I20150827001439 |
| Provider Name | Jessica Kovolenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480029 PECOS PAC ID: 8527374701 Enrollment ID: I20150902002294 |
| Provider Name | Greg Booth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063674174 PECOS PAC ID: 2567761547 Enrollment ID: I20160426000109 |
| Provider Name | Myeisha Furr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990448 PECOS PAC ID: 6103177860 Enrollment ID: I20180920000113 |
| Provider Name | Kristian K Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033088 PECOS PAC ID: 4688916018 Enrollment ID: I20190503001138 |
| Provider Name | Thrisann Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074571 PECOS PAC ID: 1658743257 Enrollment ID: I20230208000657 |
Carroll Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 Houcksville Rd, Hampstead, MD 21074 Phone: 410-239-0406 Fax: 410-239-0407 | |
Carroll Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2319 Hanover Pike, Suite E-f, Hampstead, MD 21074 Phone: 410-374-0675 | |
Carroll Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Northwoods Trail, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 | |
Deo Gracias Faustino Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4111 Lower Beckleysville Rd, Hampstead, MD 21074 Phone: 410-374-4488 | |
Carroll Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N Woods Trl, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 N Houcksville Rd, Hampstead, MD 21074 Phone: 410-239-0406 |