NICHOLAS TRUDO (NPI# 1467938290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467938290 |
| Entity Type | Individual |
| Full Name | NICHOLAS TRUDO |
| Practice Address |
204 W Hill Blvd Charleston Afb SC 29404-4704 |
| Mailing Address |
9793 Black Willow Ln Ladson SC 29456-8525 |
| Mailing Telephone | 7194407297 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
204 W HILL BLVD |
| City | CHARLESTON AFB |
| State | SC |
| Zip Code | 29404-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186360 | Darrell Kevin Tegtmeyer | Physician Assistant | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2005-09-30 |
| 1164080768 | Eric Wayne Robertson | Registered Nurse | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2019-05-30 |
| 1235655754 | Jessica Reynolds | Pharmacist | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2017-08-16 |
| 1356871032 | Karina Cortes | Military Health Care Provider | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2017-06-15 |
| 1093250839 | Thi Nguyen | Pharmacist | 204 W Hill Blvd, 628th Medical Group, Charleston Afb, SC 29404-4704 | 2017-01-03 |
| 1952857393 | Krystal Hasselvander | Social Worker | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2016-08-26 |
| 1447650502 | Jeffrey Chase Yee | Dentist | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2014-08-26 |
| 1659770980 | Khiem Nguyen | Dentist | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2014-08-22 |
| 1063852978 | Chantell Renee Mckee | Family Medicine | 204 W Hill Blvd, Charleston Afb, SC 29404 | 2013-06-25 |
| 1114261526 | Brett Randall | Military Health Care Provider | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751971 | James Tyrone Wilder | Social Worker | B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 | 2017-10-23 |
| 1033422902 | Michael Ryan Moore | Physical Therapist | 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404 | 2010-07-21 |
| 1720221013 | Cristy Jo Preslar | Military Health Care Provider | 364 Arthur Drive, Charleston Afb, SC 29404 | 2009-04-16 |
| 1336237627 | Douglas Vail Campbell | Psychologist | 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 | 2006-10-11 |
| 1124019914 | Neal Robert Taylor | Family Medicine | 628 Medical Group 204 W. Hill Blvd, Jb Charleston, SC 29404 | 2005-11-02 |
| 1295092328 | Suzanne M O'shea | Registered Nurse | 204 W. Hill Blvd, Charleston, SC 29404-0000 | 2012-04-13 |
| 1306281373 | Michelle Karen Calandra | Registered Nurse | 1000 Michigan Ave, Charleston Afb, SC 29404-2020 | 2013-05-06 |
| 1336560440 | Merin Williams | Speech-Language Pathologist | 1000 Michigan Ave, Charleston Afb, SC 29404-2020 | 2013-12-17 |
| 1154884468 | Palmetto Pa Assist, LLC | Physician Assistant | 101 Lawson Dr # 103, Charleston, SC 29404-2121 | 2019-04-12 |
| 1750811089 | Radiant Neuromonitoring LLC | Psychiatry & Neurology | 101 Lawson Dr # 104, Charleston, SC 29404-2121 | 2017-06-19 |
| Find all providers in zip 29404 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083953475 | Allison Hope Garcia | Physician Assistant | 102 E Hill Blvd, 628 Medical Group, Charleston Afb, SC 29404-5019 | 2013-02-05 |
| 1487756839 | Robert Ray Bryant | Physician Assistant | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON AFB |
| Zip Code | 29404 |
Please comment or provide details below to improve the information on NICHOLAS TRUDO.
| 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.