Active NPI
Trident Emergency Physicians LLC
- Emergency Medicine Physician
- Moncks Corner, SC
National Provider Identifier
1053329938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TRIDENT EMERGENCY PHYSICIANS LLC
- Practice address
- 401 N Live Oak Dr
Moncks Corner, SC 29461-5603 - Phone
- (843) 797-7000
- NPI assigned
- Aug 4, 2006
- Last updated
- Apr 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Baird D Oldfield, MD
- Title
- President
- Phone
- (843) 797-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
401 N Live Oak Dr
Moncks Corner, SC 29461-5603
Mailing address
PO Box 11450
Westminster, CA 92685
Phone (800) 509-8138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0167 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Summerville, SC
- NPI 1235177163
-
- Emergency Medicine Physician
- Summerville, SC
- NPI 1023059011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240358400000",
"number": "1053329938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11450",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92685",
"telephone_number": "800-509-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N LIVE OAK DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294615603",
"telephone_number": "843-797-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIDENT EMERGENCY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2009-04-22",
"status": "A",
"authorized_official_last_name": "OLDFIELD",
"authorized_official_first_name": "BAIRD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-797-7000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0167",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
- Tawanda Tolliver-McHenry, M.A.
- Phillip William Tolman, PA
- Glenda Reed Torricelli, M.D.
- Town of Moncks Corner
- Trans North Aviation LTD (Travel Care International)
- Trident Medical Center, LLC (HCA Healthcare Moncks Corner ER, a department of HCA Healthcare Trident Hospital)
- Trident Pain Center LLC
- Jason Kenneth Trigiani, PA-C
- Trips Chiropractic (Berry Massage Therapy and Chiropractic Center)
- True Vine Home Care Agency LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.