MR. WILLIAM GLENN TROCK (NPI# 1407130891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407130891 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM GLENN TROCK |
| Credential | C.P. |
| Practice Address |
120 E Kingston Ave Charlotte NC 28203-4742 |
| Practice Telephone | 7043752587 |
| Practice Fax Number | 7043334429 |
| Mailing Telephone | 7043752587 |
| Mailing Fax Number | 7043334429 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers | ||
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CP003272 | SC | Other Service Providers |
| Street Address |
120 E KINGSTON AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669520284 | George William Alford Sr. | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2007-01-08 |
| 1356899843 | Charles Richard Follette | Pedorthist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2016-09-14 |
| 1003065368 | Jason Ralph Riffle | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2008-09-11 |
| 1457409047 | Milton Kale Hinnant | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648817 | Shanae Starnes | Specialist | 11009 Okeefe Ct, Charlotte, NC 28215-5043 | 2020-10-26 |
| 1184224685 | Karmelita Stevens | Specialist | 2750 E W T Harris Blvd Ste 235, Charlotte, NC 28213-4373 | 2020-10-26 |
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1184232126 | Chondra Jemise Wilson | Specialist | 1237 Tyvola Dr # B, Charlotte, NC 28210-3870 | 2020-07-15 |
| 1922647874 | Bjutiful Soul | Specialist | 8510 Mcalpine Park Dr Ste 209, Charlotte, NC 28211-6250 | 2019-12-24 |
| 1538702832 | Ayana Jones | Specialist | 9215 Monroe Rd Ste 4, Charlotte, NC 28270-2535 | 2019-10-20 |
| 1396300059 | Monica Griffin | Specialist | 7705 Oak Canyon Ln, Charlotte, NC 28227-4935 | 2019-05-07 |
| 1104326644 | Tyshieka Y Bailey | Specialist | 10310 Tisbury Rd Apt 6103, Charlotte, NC 28216-0266 | 2018-02-20 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1356872857 | Raymond Austin | Specialist | 834 Tiger Ln, Charlotte, NC 28262-1124 | 2017-03-26 |
| Find all providers in CHARLOTTE | ||||
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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.