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TRITON SURGICAL ASSOCIATES PA NPI 1023136116


NPI Information

NPI: 1023136116
Provider Name: TRITON SURGICAL ASSOCIATES PA

Doing Business As: ODESSA GENERAL SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 45D2133251

Address:
408 N HANCOCK AVE
ODESSA, TX
ZIP 79761
Phone: (432) 580-7373
Get Directions

TRITON SURGICAL ASSOCIATES PA is a surgery in Odessa, TX. The provider is 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. TRITON SURGICAL ASSOCIATES PA NPI is 1023136116. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Odessa General Surgery.

The provider's business location address is:

408 N HANCOCK AVE
ODESSA, TX
ZIP 79761-140
Phone: (432) 580-7373
Fax: (432) 580-3275

The provider's authorized official is Robert K Lynch .
The authorized official title is Physician Owner and has the following contact phone number (432) 580-7373.

The CLIA number assigned to this NPI record is 45D2133251 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 1/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryK3317TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1096986702MEDICAIDTEXAS
20002CCMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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