TRINITY CLINIC (NPI# 1558399592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558399592 |
| Entity Type | Organization |
| Organization Name | TRINITY CLINIC |
| Other Organization Name | TRINITY CLINIC ANESTHESIA |
| Practice Address |
800 East Dawson St Tyler TN 75701 |
| Mailing Address |
Po Box 5500 Tyler TX 75712 |
| Practice Telephone | 9035314500 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYNDA KAYE TIPPIT (SUPERVISOR, CENTRAL CRED) |
| Authorized Official Telephone | 9035315185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Trinity Clinic Anesthesia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982936936 | Trinity Clinic | Clinic/Center | 500 N Marshall St, Henderson, TX 75652-5932 | 2010-02-02 |
| 1982859377 | Trinity Clinic | Clinic/Center | 803 Hwy 31 East, Chandler, TX 75758-0373 | 2008-11-26 |
| 1942455654 | Trinity Clinic | Clinic/Center | 1505 Hwy 19 South, Athens, TX 75751-8950 | 2008-11-21 |
| 1144493107 | Trinity Clinic | Clinic/Center | 866 E. Lennon Dr, Ste 105, Emory, TX 75440-3214 | 2008-04-10 |
| 1922276435 | Trinity Clinic | Podiatrist | 1034 Clinic Dr, Tyler, TX 75701-2050 | 2008-02-19 |
| 1427245166 | Trinity Clinic | Clinic/Center | 175 Spur 3007, Scroggins, TX 75480-6403 | 2007-09-26 |
| 1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
| 1174742902 | Trinity Clinic | Chiropractor | 4236 Nw Expressway St, Suite 118, Oklahoma City, OK 73116-1588 | 2007-04-24 |
| 1861618779 | Trinity Clinic | Clinic/Center | 307 Woodlawn, Kilgore, TX 75662-3624 | 2007-04-18 |
| 1659322733 | Trinity Clinic | Psychiatry & Neurology | 3300 S. Broadway, Suite 102, Tyler, TN 75701 | 2006-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRINITY CLINICAL CONSULTING GROUP, LLC | 285 S Englewood Dr, Baton Rouge, LA 70810-5004 |
| Street Address |
800 EAST DAWSON ST |
| City | TYLER |
| State | TN |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588930242 | Ali Khalifa | Anesthesiology | 800 E Dawson St # 2, Tyler, TX 75701-2036 | 2012-03-28 |
| 1790799476 | Joshua D Toby | Anesthesiology | 1814 Roseland Blvd 200, Tyler, TX 75701-4262 | 2006-07-28 |
| 1598756637 | Wilfred O. Prados IIi | Anesthesiology | 800 East Dawson, Tyler, TX 75701 | 2005-10-28 |
| 1356753370 | David Earle Smith | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2014-05-26 |
| 1396184891 | Uloma Oziri | Anesthesiology | 800 E Dawson St, Tyler, TX 75701 | 2013-06-18 |
| 1134566946 | Matthew Harry Lee Wilkerson | Anesthesiology | 800 E Dawson St, Tyler, TX 75701 | 2013-06-03 |
| 1316207400 | Joseph Kalathil Kurian | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2012-05-22 |
| 1164717633 | Brent Toland | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2011-06-13 |
| 1639469281 | Moises A Sidransky | Anesthesiology | 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701-1951 | 2011-04-17 |
| 1124282165 | Carrie Danae Tutt | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2008-07-17 |
| Find all providers in TYLER | ||||
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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.