TRINITY CLINIC SURGERY (NPI# 1932203197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932203197 |
| Entity Type | Organization |
| Organization Name | TRINITY CLINIC SURGERY |
| Practice Address |
910 E Houston St Ste 550 Tyler TX 75702-8366 |
| Mailing Address |
Po Box 5500 Tyler TX 75712 |
| Practice Telephone | 9035927393 |
| Practice Fax Number | 9035977538 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY ANN HARRISON (PHYSICIAN CLINIC SUPPORT COORDINATO) |
| Authorized Official Telephone | 9035101113 |
| Authorized Official Credential | CMC, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| X | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| X | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| X | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| X | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| X | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GROUP NUMBER | T69U | 01 |
| Street Address |
910 E HOUSTON ST STE 550 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285619205 | Xiaotuan Zhao | Internal Medicine | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2005-12-13 |
| 1164994430 | Piyapas Niramolphisal Dudo | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2018-12-26 |
| 1003398157 | Jacob G Thoele | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2018-09-05 |
| 1740784594 | Tamaka Trenda Martin | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702 | 2018-03-19 |
| 1851805055 | David Alan Stephens | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2017-11-27 |
| 1790111490 | Laurean Jada Winston | Physician Assistant | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2013-09-25 |
| 1033411269 | Neily Louise Wheeler | Dietitian, Registered | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2010-11-19 |
| 1184660086 | Jannine Purcell | Nurse Practitioner | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2006-06-21 |
| 1669435921 | Erin Thompson | Dietitian, Registered | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2006-04-08 |
| 1336109925 | Abdullah Mubarak | Internal Medicine | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2006-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| 1487098240 | Charles Joseph Keith Jr. | Surgery | 1100 E Lake St Ste 150, Tyler, TX 75701-3357 | 2013-04-24 |
| 1922298876 | Stefan P. Thiele, M.d., P.a. | Surgery | 1320 Doctors Dr, Tyler, TX 75701-2262 | 2007-07-26 |
| 1568515393 | Vivek Patel | Surgery | 700 Olympic Plaza Cir Ste 580, Tyler, TX 75701-1951 | 2007-01-18 |
| 1801901376 | Harris Roberts Fender Jr. | Surgery | 1015 Hospital Drive, Tyler, TX 75701 | 2006-08-21 |
| 1104890961 | Robert A Mckinney Jr. | Surgery | 910 E Houston, Ste 550, Tyler, TX 75701 | 2006-02-16 |
| 1083686877 | Margarita De La Garza-grahm | Surgery | 1020 E Lake St, Tyler, TX 75701-2033 | 2006-02-06 |
| 1043206774 | Hugh P Babineau | Surgery | 1100 E Lake St, Ste 230, Tyler, TX 75701-3343 | 2005-09-27 |
| 1891797429 | Mark Richard Robbins | Surgery | 1040 S Fleishel Ave, Tyler, TX 75701-2031 | 2005-08-12 |
| 1750383386 | East Texas Vascular Associates, P.a. | Surgery | 700 Olympic Plaza Cir Ste 510, Tyler, TX 75701-1952 | 2005-08-12 |
| 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.