Molly B Trostle Internal Medicine Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

OS011902 Issued in PA

Legal business name

MOLLY B TROSTLE INTERNAL MEDICINE INC

Doing business as

MOLLY B TROSTLE DO

Practice address

881 Hills PLZ
Ebensburg, PA 15931-4213

Phone

(814) 419-8084

NPI assigned

Oct 5, 2011

Organization subpart

Yes

Parent organization

MEDVANTX, INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Sr Director Ops

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• MOLLY B TROSTLE DO Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Tri - State Medical Group Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly B Trostle, DO

  • Internal Medicine Physician
  • Ebensburg, PA
  • NPI 1386616175
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1033493218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY B TROSTLE INTERNAL MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2011-10-05",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR DIRECTOR OPS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "OS011902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOLLY B TROSTLE DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Lynn Miller, PT, DPT, CSCS
• Nicholas Ryan Miller, PHARMD
• Skyler Miller
• Jason Mirobelli
• Jessica Grace Mock, RN
• Sandra Lynn Moore, PTA
• Mopa Group, LLC
• Archibald Regis Morris, OD
• Katherine Marie Morris, OD
• Kimberly Ann Motter, DPT

• Non-Pharmacy Dispensing Site in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.