EAST TEXAS MEDICAL CENTER TRINITY (NPI# 1467787648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467787648 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER TRINITY |
| Other Organization Name | ETMC TRINITY PRO FEES |
| Practice Address |
317 Prospect Drive Trinity TX 75862 |
| Mailing Address |
P O Box 3169 315 Prospect Drive Trinity TX 75862-3169 |
| Practice Telephone | 9367441100 |
| Mailing Telephone | 9365943595 |
| Mailing Fax Number | 9365940491 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | MRS. DANA LAMB (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 9365463810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ETMC Trinity Pro Fees | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
| 1548235906 | East Texas Medical Center Trinity | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-21 |
| 1821063553 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-17 |
| 1316386022 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect Dr, Trinity, TX 75862-6202 | 2013-06-17 |
| 1699113068 | East Texas Medical Center Trinity | Clinic/Center | 317 Prospect Dr, Trinity, TX 75862-6202 | 2013-06-07 |
| 1477812550 | East Texas Medical Center Trinity | Orthopaedic Surgery | 317 Prospect Dr, Trinity, TX 75862-6202 | 2012-05-10 |
| 1043469638 | East Texas Medical Center Trinity | General Acute Care Hospital | 315 Prospect Dr, Trinity, TX 75862-6202 | 2008-09-18 |
| Street Address |
317 PROSPECT DRIVE |
| City | TRINITY |
| State | TX |
| Zip Code | 75862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426473 | Linda Darnell Shaw | Licensed Vocational Nurse | 139 Pineland Dr, Trinity, TX 75862 | 2018-05-03 |
| 1942668280 | Elizabeth Jane Wilhite | Nurse Practitioner | 303 S Robb Street, Trinity, TX 75862 | 2016-02-01 |
| 1124428842 | Martin Senior Citizens Center, Inc. | In Home Supportive Care | 400 Walker Street, Trinity, TX 75862 | 2014-08-29 |
| 1649679135 | Nkechinyere Onwumere | Family Medicine | 714 South Robb Street, Trinty, TX 75862 | 2014-08-20 |
| 1023454329 | Abby L Warren-curtis | Dietitian, Registered | 312 Glendale Cem. Rd., Trinity, TX 75862 | 2013-05-14 |
| 1821222837 | Stability Solutions, LLC | Prosthetic/Orthotic Supplier | 108 S. Robb, Suite #4, Trinity, TX 75862 | 2009-05-05 |
| 1669590220 | Cora A Armelin | Occupational Therapist | 103 Eva St, Trinity, TX 75862 | 2007-03-26 |
| 1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
| 1871116715 | Sunhee Kim | Pharmacist | 507 S Robb St Ste B, Trinity, TX 75862 | 2020-05-27 |
| 1902331523 | Kathleen Mcmahon | Counselor | 107 W Main St, Trinity, TX 75862 | 2017-04-21 |
| Find all providers in zip 75862 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434592 | Dennis Dario Md LLC | Family Medicine | 3633 Little Rd Ste 104, Trinity, FL 34655-1815 | 2018-04-12 |
| 1225331945 | Timothy S Bailey | Family Medicine | 1815 Health Care Dr Ste B, Trinity, FL 34655-5363 | 2010-12-20 |
| 1053624221 | Elizabeth Diane Carson | Family Medicine | 4111 Little Rd, Trinity, FL 34655-1743 | 2010-07-16 |
| 1528208071 | Ruben Gerardo Font | Family Medicine | 11551 Weaver Park Ct., Trinity, FL 34655-7138 | 2009-02-24 |
| 1902963788 | Paul K Southard | Family Medicine | 10730 State Road 54 Ste 104, Trinity, FL 34655-2265 | 2007-01-02 |
| 1912060500 | Amir Shirmohammad | Family Medicine | 1817 Cypress Brook Dr, Suite 101, Trinity, FL 34655-4414 | 2006-12-18 |
| 1083717862 | Jesse Tippett | Family Medicine | 1807 Short Branch Dr, Suite 102, Trinity, FL 34655-4415 | 2006-09-06 |
| 1437104148 | Edward James Navas-nazario | Family Medicine | 1838 Health Care Dr Bldg 2, Trinity, FL 34655 | 2006-05-23 |
| 1518919117 | Robert J. Ferreira | Family Medicine | 2044 Trinity Oaks Blvd Ste 220, Trinity, FL 34655-4406 | 2006-05-16 |
| 1619928652 | Lisa M Ferreira | Family Medicine | 2102 Trinity Oaks Blvd Ste 216, Trinity, FL 34655-4409 | 2006-05-15 |
| Find all providers in TRINITY | ||||
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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.