Organization Active NPI

Trinity Medical Center P.C.

  • Internal Medicine Physician
  • Mint Hill, NC
National Provider Identifier
1043585433
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9300746 Issued in NC
Legal business name
TRINITY MEDICAL CENTER P.C.
Practice address
7215 Lebanon Rd
Suite a
Mint Hill, NC 28227-9026
Phone
(704) 573-7161
Fax
(704) 573-3799
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Deborah Ann Shurtleff, CPC
Title
Patient Accounts Coordinator
Phone
(704) 573-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9300746 NC Primary

Addresses

Primary practice location

7215 Lebanon Rd
Suite a
Mint Hill, NC 28227-9026

Mailing address

7215 Lebanon Rd
Suite a
Mint Hill, NC 28227-9026
Phone (704) 573-7161

Other identifiers 1

IdentifierTypeStateIssuer
1699779116OtherNCBCBS OF NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1043585433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD",
            "address_2": "SUITE A",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279026",
            "telephone_number": "704-573-7161",
            "fax_number": "704-573-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD",
            "address_2": "SUITE A",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279026",
            "telephone_number": "704-573-7161",
            "fax_number": "704-573-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "SHURTLEFF",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS COORDINATOR",
        "authorized_official_telephone_number": "704-573-7161",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9300746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1699779116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.