Trek Rundle

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

19926 E 1140 Rd
Elk City, OK 73644-2464

Phone

(580) 334-4948

NPI assigned

Jan 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1104363688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19926 E 1140 RD",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19926 E 1140 RD",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442464",
            "telephone_number": "580-334-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLE",
        "first_name": "TREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ophelia N Rogers, MED LPC
• Stacie Rogers, BS
• Kristina Lee Rosalez
• Gilbert Soriano Rosario, RPT
• Tawnya Leann Rouse, PT
• Jessica Sandoval
• Patricia Sandoval
• Hubert Michael Savage, LCSW, LADC/MH
• Fayne Alan Sawatzky, BHRS, CM-A
• Scott a Williams D O P C

• Student in an Organized Health Care Education/Training Program in Elk City, OK
• Providers in Elk City, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.