NPI Record of SEAN MICHAEL TROSTEL NPI 1477182533

Student in an Organized Health Care Education/Training Program in Charlotte, NC

Complete NPI Record

Field Name Value Definition
NPI1477182533The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameTROSTELThe last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameSEANThe first name of the provider, if the provider is an individual.
Provider Middle NameMICHAELThe middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address747 METCALF STThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameAUGUSTAThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameGAThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code309044282The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number6786779902The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location AddressCMC/DEPARTMENT OF EMERGENCY MEDICINEThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address1000 BLYTHE BLVDThe second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCHARLOTTEThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNCThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code282035812The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number7043553181The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date4/2/2020The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date4/2/2020The date that a record was last updated or changed.
Provider Gender CodeMThe code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1390200000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Sole ProprietorNCode indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date4/2/2020