TRIDENT MEDICAL GROUP PA NPI 1295407922

NPI Information

NPI: 1295407922
Provider Name: TRIDENT MEDICAL GROUP PA
Classification: Podiatrist - 213EP0504X
Entity Type: Organization

Specialization: Public Medicine

Address:
382 NE 191ST ST
PMB 75481
MIAMI, FL
ZIP 33179
Phone: (855) 770-7771
Get Directions

TRIDENT MEDICAL GROUP PA is a public medicine podiatrist in Miami, FL. TRIDENT MEDICAL GROUP PA NPI is 1295407922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

382 NE 191ST ST
PMB 75481
MIAMI, FL
ZIP 33179-899
Phone: (855) 770-7771

The provider's authorized official is Devion Smith .
The authorized official title is Director, Payer Contracting and has the following contact phone number (424) 326-8711.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 11/14/2022.

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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	207R00000X	Internal Medicine		No
3	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery	No
4	2086S0129X	Surgery	Vascular Surgery	No
5	213E00000X	Podiatrist		No
6	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
7	213EP0504X	Podiatrist	Public Medicine	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »