GLENN TRIPP (NPI# 1992782668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992782668 |
| Entity Type | Individual |
| Full Name | GLENN TRIPP |
| Credential | PA |
| Practice Address |
9633 Bitter Melon Dr Angier NC 27501-5917 |
| Practice Telephone | 9196398900 |
| Practice Fax Number | 9196399500 |
| Mailing Telephone | 9196398900 |
| Mailing Fax Number | 9196399500 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2010-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103877 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477587434 | Glenn C Tripp | Pediatrics | 311 S L St, Tacoma, WA 98405-3720 | 2006-07-10 |
| Street Address |
9633 BITTER MELON DR |
| City | ANGIER |
| State | NC |
| Zip Code | 27501-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558348276 | Edwin Yaeger | Emergency Medicine | 9633 Bitter Melon Dr, Angier, NC 27501-5917 | 2005-12-22 |
| 1720620982 | Kim Jones | Nurse Practitioner | 9633 Bitter Melon Dr, Angier, NC 27501-5917 | 2019-10-09 |
| 1659517993 | Uncommon Care Pa | Clinic/Center | 9633 Bitter Melon Dr, Angier, NC 27501 | 2008-12-16 |
| 1023230729 | David Alan Peterson | Surgery | 9633 Bitter Melon Dr, Angier, NC 27501-5917 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991004 | Amelia Ann Weaver | Technician | 2622 Oak Grove Ch. Rd Amelia Ann Weaver, Angier, NC 27501 | 2019-09-16 |
| 1477115061 | Meena Park Lee | Dentist | 15 Rawls Church Rd, Angier, NC 27501 | 2019-07-03 |
| 1598118465 | Nancy Harte | Counselor | 728 N. Raleigh Street, Suite C, Angier, NC 27501 | 2016-07-15 |
| 1780987321 | Phlebotomy Training Institute & Resource | Technician, Pathology | 120 N. Broad St. East Unit A-1, Angier, NC 27501 | 2010-12-20 |
| 1568785194 | United Family Care Inc. | Custodial Care Facility | 10183 Highway 210 North, Angier, NC 27501 | 2010-03-10 |
| 1689854812 | Valley Radiology At Angier LLC | Radiology | 169 Rawls Rd., Angier, NC 27501 | 2007-11-05 |
| 1689865958 | United Family Network At Willow Springs | Residential Treatment Facility, Emotionally Disturbed Children | 1259 Ridge Road, Antier, NC 27501 | 2007-08-05 |
| 1245376714 | Primrose Villa | Assisted Living Facility | 431 Junny Road, Angier, NC 27501 | 2007-01-30 |
| 1508917592 | Lane and Associates IIi, Dds Pa | Dentist | 15 Rawls Road, Suite 200 Box 160, Angier, NC 27501 | 2007-01-16 |
| 1407903743 | Amber Renn | Physician Assistant | 185 Rawls Road, Angier, NC 27501 | 2007-01-05 |
| Find all providers in zip 27501 | ||||
| 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 |
|---|---|---|---|---|
| 1407903743 | Amber Renn | Physician Assistant | 185 Rawls Road, Angier, NC 27501 | 2007-01-05 |
| 1952926354 | Davin O Nyangau | Physician Assistant | 100 Tramway Cir, Angier, NC 27501-9170 | 2020-06-11 |
| 1922527423 | Erica Joy Smith | Physician Assistant | 185 Rawls Rd, Angier, NC 27501-8539 | 2017-09-15 |
| 1275929481 | Allison Alexander | Physician Assistant | 185 Rawls Rd, Angier, NC 27501-8539 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| 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.