NATHANAEL CLAYTON TROLL (NPI# 1790289379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790289379 |
| Entity Type | Individual |
| Full Name | NATHANAEL CLAYTON TROLL |
| Credential | DO |
| Practice Address |
809 82nd Parkway Gme Office Myrtle Beach SC 29792 |
| Practice Telephone | 8436921752 |
| Practice Fax Number | 8436921904 |
| Mailing Telephone | 8436921752 |
| Mailing Fax Number | 8436921904 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
809 82ND PARKWAY GME OFFICE |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316797 | Christine Marie Krajewski | Student in an Organized Health Care Education/Training Program | 809 82nd Parkway, Grand Strand Medical Center Gme Office, Myrtle Beach, SC 29572 | 2019-03-22 |
| 1902366255 | Thomas Krajewski | Student in an Organized Health Care Education/Training Program | 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29572 | 2019-03-22 |
| 1750886834 | Vishal Umed Shah | Student in an Organized Health Care Education/Training Program | 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29572 | 2018-03-29 |
| 1578067484 | Christie Hua | Family Medicine | 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29572 | 2018-03-23 |
| 1811421415 | Salah Diab Abdel Jalil | Student in an Organized Health Care Education/Training Program | 809 82nd Parkway, Graduate Medical Education, Myrtle Beach, SC 29572 | 2017-04-20 |
| 1679007389 | Sarah Jean Puim | Family Medicine | 809 82nd Parkway, Grand Strand Medical Center, Myrtle Beach, SC 29572 | 2017-04-19 |
| 1689106445 | Barney Nathan Sadler | Student in an Organized Health Care Education/Training Program | 809 82nd Parkway, Grand Strand Medical Center, Myrtle Beach, SC 29572 | 2017-03-31 |
| 1265963060 | Jonathan Leggett | Emergency Medicine | 809 82nd Parkway, Grand Strand Medical Center/ Gme Office, Myrtle Beach, SC 29572 | 2017-03-23 |
| 1063868735 | Mohamed Medhat M Faris | Internal Medicine | 809 82nd Parkway, Myrtle Beach, SC 29572 | 2016-05-11 |
| 1073969424 | Hajra Awwab | Student in an Organized Health Care Education/Training Program | 809 82nd Parkway, Grand Strand Medical Center, Gme-internal Medicine, Myrtle Beach, SC 29572 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821121823 | Henderson County Dss | Case Management | 1200 Spartanburg Highway, Suite 300, Hendersonville, NC 29792-5828 | 2007-03-13 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1295362002 | Jonathan David Lecrone | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy Apt 203, Myrtle Beach, SC 29572-4607 | 2020-03-24 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1871053595 | Michael Sirignano | Student in an Organized Health Care Education/Training Program | 455 Sunnehanna Dr Unit 295, Myrtle Beach, SC 29588-5394 | 2019-03-20 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| 1144794280 | Haylee Samantha Black | Student in an Organized Health Care Education/Training Program | 147 Tibton Cir, Myrtle Beach, SC 29588-1266 | 2019-01-11 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29792 |
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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.