DR. SAUL GENEROSO TREVINO (NPI# 1912085358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912085358 |
| Entity Type | Individual |
| Full Name | DR. SAUL GENEROSO TREVINO |
| Credential | M.D. |
| Practice Address |
1100 Virginia Ave Columbia MO 65212-0001 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5738822663 |
| Practice Fax Number | 5738821760 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
2007003916 | MO | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
D3420 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P085566J5 | 05 | |
| MO | 204582209 | 05 |
| Street Address |
1100 VIRGINIA AVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355810 | John F Nettrour | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2005-06-13 |
| 1598386534 | Luai Sobhi Mustafa | Student in an Organized Health Care Education/Training Program | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2020-04-30 |
| 1477111342 | Pierre-emmanuel Schwab | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212 | 2019-06-05 |
| 1093371288 | Tzu Chuan Yen | Student in an Organized Health Care Education/Training Program | 1100 Virginia Ave, Columbia, MO 65201 | 2019-05-14 |
| 1629533237 | Shelby Reed | Physician Assistant | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2019-02-07 |
| 1912493495 | Gregory Weldon Caplinger | Nurse Practitioner | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-07-08 |
| 1447745245 | Devin St. Clair | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-06-25 |
| 1861990731 | Sebastien Lalonde | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-01-25 |
| 1588177034 | Curators of The University Of | Durable Medical Equipment & Medical Supplies | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2017-11-07 |
| 1699294975 | Kathryn Anne King | Pharmacist | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588189419 | Oa Associates LLC | Orthopaedic Surgery | 200 Admiral Trost Rd, Columbia, IL 62236-2163 | 2017-08-11 |
| 1992226534 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 | 2017-07-05 |
| 1174045124 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 2 Medical Park Rd Ste L9l10, Columbia, SC 29203-6808 | 2017-07-12 |
| 1841291598 | William C James IIi | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553880 | Rockhill Orthopaedic Specialists Inc | Orthopaedic Surgery | 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5496 | 2018-06-28 |
| 1205321569 | Rockhill Orthopaedic Specialists Inc | Orthopaedic Surgery | 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6011 | 2018-06-28 |
| 1710326467 | Megan Alexis Walters | Orthopaedic Surgery | 1755 S Grand Blvd, Saint Louis, MO 63104 | 2013-06-17 |
| 1598087652 | Gary J Schmidt Md LLC | Orthopaedic Surgery | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2010-02-17 |
| 1043416985 | Nathan John Kiewiet | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-06-26 |
| 1265585111 | Jeremy James Mccormick | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-01-22 |
| 1619036878 | Sandra Elizabeth Klein | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2006-12-06 |
| 1275551699 | Jeffrey E Johnson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1669417416 | James Winston Bogener | Orthopaedic Surgery | 2301 Holmes St, Department of Orthopaedic Surgery, Kansas City, MO 64108-2640 | 2006-06-17 |
| 1225095557 | Timothy M Badwey | Orthopaedic Surgery | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-5941 | 2006-04-28 |
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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.