TREVINO ORTHOPAEDICS PLLC - NPI NUMBER 1477988970

Summary

Provider Name: TREVINO ORTHOPAEDICS PLLC

NPI Number: 1477988970

Clasification: Orthopaedic Surgery (207X00000X)

Address:
8601 VILLAGE DR
STE 206
SAN ANTONIO, TX
ZIP 78217

Phone Number: (210) 657-5600



Detailed Information

TREVINO ORTHOPAEDICS PLLC is an orthopaedic surgeon in San Antonio, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. The assigned NPI number for this provider is 1477988970 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

8601 VILLAGE DR
STE 206
SAN ANTONIO, TX
ZIP 78217-512
Phone: (210) 657-5600
Fax: (210) 657-5601

The provider's authorized official is Richard C Trevino .
The authorized official title is President and has the following contact phone number (210) 657-5600.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 9/4/2013.

Map - Location of Practice

Taxonomy Codes

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
1 207X00000X Orthopaedic Surgery N7012 TX Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1477988970 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name TREVINO ORTHOPAEDICS PLLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 8601 VILLAGE DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address STE 206 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name SAN ANTONIO The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name TX The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 782175512 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 2106575600 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 2106575601 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 9/4/2013 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 9/4/2013 The date that a record was last updated or changed.
15 Authorized Official Last Name TREVINO The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name RICHARD The first name of the authorized official.
17 Authorized Official Middle Name C The middle name of the authorized official.
18 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
19 Authorized Official Telephone Number 2106575600 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 207X00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Provider License Number 1 N7012 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 1 TX The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Is Organization Subpart N
25 Authorized Official Name Suffix Text II
26 Authorized Official Credential Text MD
27 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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