MR. CHARLES ALAN LOLLAR (NPI# 1093123408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093123408 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ALAN LOLLAR |
| Credential | ATC |
| Practice Address |
217 Stewart Stadium Murray KY 42071-3351 |
| Practice Telephone | 2708096858 |
| Practice Fax Number | 2708094320 |
| Mailing Telephone | 2708096858 |
| Mailing Fax Number | 2708094320 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT049 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
217 STEWART STADIUM |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972744324 | Catherine Cambia Ellis | Specialist/Technologist | 217 Stewart Stadium, Murray, KY 42071-3351 | 2009-03-16 |
| 1770974834 | Gregory Jocelyn | Specialist/Technologist | 217 Stewart Stadium, Murray, KY 42071-3351 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1972744324 | Catherine Cambia Ellis | Specialist/Technologist | 217 Stewart Stadium, Murray, KY 42071-3351 | 2009-03-16 |
| 1033269618 | Laura Rene Goldfine | Specialist/Technologist | The Orthopedic Specialty Hospital, 5848 S. Fashion Blvd., Murray, UT 84107 | 2007-01-12 |
| 1578526794 | Fikre H Wondafrash | Specialist/Technologist | 5848 S 300 E, Murray, UT 84107-6121 | 2006-04-10 |
| 1457325250 | Lance Harper | Specialist/Technologist | 112 Murray Estates Dr, Murray, KY 42071-4672 | 2006-02-16 |
| 1396718177 | Eric David Frederick | Specialist/Technologist | Murray State University, 217 Stewart Stadium, Murray, KY 42071-3351 | 2006-02-10 |
| 1093788036 | Jeremy Brent Erdmann | Specialist/Technologist | 405a N. Applied Sciences Bldg., Murray State University, Dept. of Ahs, Murray, KY 42071-3306 | 2006-02-09 |
| 1528689023 | Laurie Evans | Specialist/Technologist | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2020-05-06 |
| 1104212620 | Michael Steven Everett | Specialist/Technologist | 5848 S 300 E, Murray, UT 84107-6157 | 2015-04-10 |
| 1770974834 | Gregory Jocelyn | Specialist/Technologist | 217 Stewart Stadium, Murray, KY 42071-3351 | 2015-02-11 |
| Find all providers in MURRAY | ||||
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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.