Gloria M Trirogoff MD PA – Anesthesiology Physician

Key facts

NPI: 1063469716
Entity type: Organization (NPI type 2)
Primary specialty: Anesthesiology Physician 207L00000X
License: E9815 (TX)
Legal business name: GLORIA M TRIROGOFF MD PA
Practice address: 100 W 30TH Ave
One Medical Plaza
Pampa, TX 79065-2814
Phone: (806) 355-6593
Fax: (806) 352-8774
NPI assigned: May 28, 2006
Organization subpart: No

Authorized official

Name: Dr. Gloria M Trirogoff, MD NPI 1770535312
Title: President
Phone: (806) 665-9626

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Gloria M Trirogoff, MD Anesthesiology Physician · Pampa, TX · NPI 1770535312

NPD (past) Authorized official ANESTHESIOLOGY

National Provider Directory

Locations

100 W 30th Ave
#One
Pampa, TX 79065

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Anesthesiology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207L00000X	E9815	TX	Yes

Addresses

Primary practice location

100 W 30TH Ave
One Medical Plaza
Pampa, TX 79065-2814

Mailing address

PO Box 8337
Amarillo, TX 79114-8337
Phone (806) 355-6593

Other identifiers

Identifier	Type	State	Issuer
00CA44	Other		BLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063469716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8337",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791148337",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 30TH AVE",
            "address_2": "ONE MEDICAL PLAZA",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652814",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA M TRIROGOFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIROGOFF",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-665-9626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E9815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00CA44",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

All providers in Pampa, TX · Anesthesiology Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.