Triton Surgical Associates PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

K3317 Issued in TX

Legal business name

TRITON SURGICAL ASSOCIATES PA

Practice address

408 N Hancock Ave
Odessa, TX 79761-5140

Phone

(432) 580-7373

Fax

(432) 580-3275

NPI assigned

Mar 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert K Lynch, D.O.

Title

Physician Owner

Phone

(432) 580-7373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Odessa General Surgery Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1023136116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N HANCOCK AVENUE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615140",
            "telephone_number": "432-580-7373",
            "fax_number": "432-580-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N HANCOCK AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615140",
            "telephone_number": "432-580-7373",
            "fax_number": "432-580-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITON SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "432-580-7373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096986702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kagen Lee Tranum, OTR/L
• Tri-Physical Therapy and Wellness Center LLC
• Cynthia Darlene Trifon, LPC
• Trinity Family Practice & Urgent Care LLC
• Trinity Healthcare of West Texas, Inc.
• Tammy Lynn Trollope, FNP
• Stephanie Trotman, LBSW
• Claire Diane True, RPH
• Christian Lee Tschauner, D C
• Christi Michelle Tucker, FNP

• Surgery Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.