TRINITY MEDICAL STAFFING LLC (NPI# 1770103426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770103426 |
| Entity Type | Organization |
| Organization Name | TRINITY MEDICAL STAFFING LLC |
| Practice Address |
100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 |
| Mailing Address |
2250 N Illinois Ave Carbondale IL 62901-5612 |
| Practice Telephone | 6182537671 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | CALEB SUTTON (DIRECTOR OF ORGANIZATIONAL DVLP) |
| Authorized Official Telephone | 6188331691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 911 Stacey Burk Dr, Flora, IL 628393241 | 6186622131 |
| Street Address |
100 DR WARREN TUTTLE DR |
| City | HARRISBURG |
| State | IL |
| Zip Code | 62946-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580130 | Harrisburg Medical Center Inc | General Acute Care Hospital | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2006-03-07 |
| 1801436175 | Debbie Jane Hearn | Dietitian, Registered | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2020-01-14 |
| 1295375541 | Mary Darlene Smith | Dietitian, Registered | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2020-01-14 |
| 1528602034 | Edward Carl Burtis | Nurse Practitioner | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946 | 2019-10-29 |
| 1629546411 | Lisa Jo Suwanawongse | Nurse Practitioner | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2018-11-09 |
| 1457833592 | Chelsea Nichole Brookins | Nurse Practitioner | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2018-09-05 |
| 1265943591 | Amy Marie Quertermous | Hospitalist | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2017-10-13 |
| 1770975393 | Brittni Roldan | Nurse Practitioner | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2015-02-19 |
| 1427345131 | Select Psychiatric Management Group LLC | Psychiatry & Neurology | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2011-07-01 |
| 1235452897 | Ashley Herrmann | Occupational Therapist | 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
| 1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
| 1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
| 1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
| 1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
| 1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
| 1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
| 1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
| Find all providers in zip 62946 | ||||
| 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 |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1952721128 | Michael John Mesaros Jr. | Internal Medicine | 5071 Bass Lake Dr, #2003, Harrisburg, PA 17111-5858 | 2014-04-25 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1568809812 | Silpa Kosuri | Internal Medicine | 205 S Front St Ste 3c, Harrisburg, PA 17104-1619 | 2013-05-28 |
| 1477841468 | Chad Michael Ward | Internal Medicine | 1199 Colonial Road, Harrisburg, PA 17712-1952 | 2011-07-12 |
| 1700079431 | Heather Elizabeth Stock | Internal Medicine | 4510 N Progress Ave, Harrisburg, PA 17110-3925 | 2007-08-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 62946 |
Please comment or provide details below to improve the information on TRINITY MEDICAL STAFFING LLC.
| 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.