KELLY J TROGDON (NPI# 1144221508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144221508 |
| Entity Type | Individual |
| Full Name | KELLY J TROGDON |
| Credential | PA-C |
| Practice Address |
360 Sunset Ave Asheboro NC 27203-5612 |
| Practice Telephone | 3366258410 |
| Practice Fax Number | 3366258405 |
| Mailing Telephone | 3366258410 |
| Mailing Fax Number | 3366258405 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103601 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 SUNSET AVE |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598277691 | Frank Matt Murphey Houston Jr. | Physician Assistant | 360 Sunset Ave, Asheboro, NC 27203-5612 | 2017-10-30 |
| 1700843323 | James Todd Williams | Dermatology | 360 Sunset Ave, Asheboro, NC 27203 | 2006-04-27 |
| 1376545301 | James Todd Williams | Dermatology | 360 Sunset Ave, Asheboro, NC 27203-5612 | 2005-08-10 |
| 1134120595 | Stephen W Kimmel | Family Medicine | 360 Sunset Ave, Asheboro, NC 27203-5612 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1689151912 | Earth Angels Home Care | In Home Supportive Care | 167 Macarthur St., Asheboro, NC 27203 | 2018-07-19 |
| 1518485333 | Katherine Hall Kruppenbach | Nurse Practitioner | 223 W Ward St Ste B, Asheboro, NC 27203 | 2017-08-31 |
| 1912429705 | Julie Yates Allsbrook | Pharmacist | 363 Sunset Avenue, Asheboro, NC 27203 | 2017-07-12 |
| 1932651452 | Joshua Knight | Physician Assistant | 197 Nc-42, Asheboro, NC 27203 | 2016-11-01 |
| 1053862391 | Jamie Lauren Webb | Physician Assistant | 197 North Carolina 42 East, White Oak Urgent Care, Asheboro, NC 27203 | 2016-10-21 |
| 1780936146 | Randolph County Senior Adults Association, Inc. | Non-emergency Medical Transport (VAN) | 133 West Wainman Ave., Asheboro, NC 27203 | 2012-10-10 |
| 1730472515 | Maggie Wright Fetner | Dentist | 202 N. Cox St, Asheboro, NC 27203 | 2011-05-26 |
| 1144528944 | Central Piedmont Surgery Center LLC | Clinic/Center | 724 Thomas Street, Asheboro, NC 27203 | 2011-03-03 |
| 1669785614 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 624 S Fayetteville St, Suite E, Asheboro, NC 27203 | 2010-07-20 |
| Find all providers in zip 27203 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104151729 | Holly Marie O'grady Vanbencoten | Physician Assistant | 1714 Back Creek Ct, Asheboro, NC 27205 | 2009-10-15 |
| 1700939220 | Andrea Marie Johnson | Physician Assistant | 350 N Cox St Ste 28, Asheboro, NC 27203-5514 | 2007-01-19 |
| 1396069555 | Joseph Brent Leonard Cook | Physician Assistant | 364 White Oak St, Asheboro, NC 27203-5434 | 2010-03-17 |
| 1194056101 | Kate Mcbride | Physician Assistant | 364 White Oak St, Asheboro, NC 27203-5434 | 2010-01-15 |
| 1215010137 | Hans Jurgen White | Physician Assistant | 610 N Fayetteville St, Sute 103, Asheboro, NC 27203-4670 | 2006-10-23 |
| 1396798401 | Jason Vann Phillips | Physician Assistant | 364 White Oak St, Emergency Department, Asheboro, NC 27203-5434 | 2006-05-18 |
| 1154300713 | Edward Saguier | Physician Assistant | 550 White Oak St, Asheboro, NC 27203-4710 | 2006-01-12 |
| 1801872692 | Charles Richard Farabee Jr. | Physician Assistant | 237 N Fayetteville St Ste A, Asheboro, NC 27203-5573 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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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.