Pascha E Trogdon

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

BM5921386 Issued in SC

Practice address

203 S Main St
Darlington, SC 29532-3953

Phone

(843) 395-6020

Fax

(843) 395-2595

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649392440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015118",
            "telephone_number": "843-230-6138",
            "fax_number": "843-395-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323953",
            "telephone_number": "843-395-6020",
            "fax_number": "843-395-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROGDON",
        "first_name": "PASCHA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "SC",
            "license": "BM5921386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TECHNICIAN",
            "identifier": "14599",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Darlington, SC
• Providers in Darlington, SC by specialty
• Other Specialist/Technologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.