Adam G Trybus Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD039743E Issued in PA

Practice address

2950 Fairway Dr
Suite 1
Altoona, PA 16602-4457

Phone

(814) 946-8000

Fax

(814) 946-8002

NPI assigned

Jul 6, 2006

Last updated

Feb 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frank Olney & Rudy Nicolas PTRS

  dba 611 Open MRI/CT, 611 MRI-CT, 611 MRI Altoona

  • Specialist
  • Altoona, PA
  • NPI 1417918756
  NPD
• Fairway Primary Care, LLC

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1225169733
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1033140108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 FAIRWAY DR",
            "address_2": "SUITE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024457",
            "telephone_number": "814-946-8000",
            "fax_number": "814-946-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 FAIRWAY DR",
            "address_2": "SUITE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024457",
            "telephone_number": "814-946-8000",
            "fax_number": "814-946-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBUS",
        "first_name": "ADAM",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD039743E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1226942",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Trimarco, COTA/L
• Amy Michelle TRN, DDS
• Shannon E Tronzo
• Lori Koo Trout, MD
• Kody Gavin Trude, DO
• Skye Lynn Trybus
• Paul Tryninewski
• Ann M Turchetta
• Lori Turgeon
• Megan Turiano

• Specialist in Altoona, PA
• Providers in Altoona, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.