Organization Active NPI

Trasimeno, LLC

  • Surgical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1205299138
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09170 Issued in TX
Legal business name
TRASIMENO, LLC
Practice address
9800 Sinclair St
Fort Worth, TX 76244-5890
Phone
(210) 887-3272
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Mrs. Jane Pavlas
Title
PA-C
Phone
(210) 887-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA09170 TX Primary

Addresses

Primary practice location

9800 Sinclair St
Fort Worth, TX 76244-5890

Mailing address

9800 Sinclair St
Fort Worth, TX 76244-5890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1205299138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SINCLAIR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SINCLAIR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445890",
            "telephone_number": "210-887-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRASIMENO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "PAVLAS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "210-887-3272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.