TRUMBULL MEDICAL GROUP (NPI# 1619142775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619142775 |
| Entity Type | Organization |
| Organization Name | TRUMBULL MEDICAL GROUP |
| Practice Address |
735 Niles Cortland Rd Se Warren OH 44484-2475 |
| Practice Telephone | 3308566096 |
| Mailing Telephone | 3308566096 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. THOMAS E JAMES (OWNER) |
| Authorized Official Telephone | 3308566096 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35-03-2565J | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | JA0392764 | 01 |
| Street Address |
735 NILES CORTLAND RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943796 | Indira Krishnarao | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2005-09-22 |
| 1790237584 | Krista Burns | Physician Assistant | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2016-10-27 |
| 1033591813 | Warren Dermatology and Mohs Surgery LLC | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2015-06-29 |
| 1124450291 | Wendy Ann Demetrios | Nurse Practitioner | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2013-07-31 |
| 1861673113 | John D Vance Md Inc | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2007-11-15 |
| 1033390497 | Michael T. Snitzer Md Ltd | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2007-11-14 |
| 1093842478 | Warrendermatologyand Allergymanagementcorp | Allergy & Immunology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2007-02-27 |
| 1285691196 | Thomas E James | Neuromusculoskeletal Medicine, Sports Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2006-04-26 |
| 1619955796 | Michael T. Snitzer | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316347917 | Gerald F Daneshvar Md Pllc | Internal Medicine | 13201 Stephens Rd Ste F, Warren, MI 48089-4340 | 2014-09-02 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1457798829 | Manuela Belda Hamaoui | Internal Medicine | 34 Mountain Blvd Bldg C, Warren, NJ 07059-2640 | 2013-05-26 |
| 1124464268 | Kelli Lynne Virgin | Internal Medicine | 11855 E 12 Mile Rd Ste 400, Warren, MI 48093-3471 | 2013-05-16 |
| 1780029074 | Ez Rest Re-hab Center Inc. | Internal Medicine | 25932 Dequindre Rd Ste C, Warren, MI 48091-1071 | 2013-05-01 |
| 1043516636 | Paolo Augusto Salvatore | Internal Medicine | 28 Helen St, Warren, NJ 07059-5817 | 2011-01-31 |
| 1861710154 | Heather Lynn Franke | Internal Medicine | 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 | 2010-05-11 |
| 1437399326 | Charles Hammond Mcgowen | Internal Medicine | 90 Oak Tree Ln Se, Warren, OH 44484-5611 | 2009-03-05 |
| 1710151782 | Richard M Liss | Internal Medicine | 6 Debby Ln, Warren, NJ 07059-5013 | 2008-04-21 |
| 1679751564 | Hoover Medical Clinic PC | Internal Medicine | 31690 Hoover, Warren, MI 48093 | 2008-02-04 |
| Find all providers in WARREN | ||||
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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.