Active NPI
Elizabeth South Trimble, M.D., J.D.
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1225132384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD035886
- Practice address
- Dept of Veterans Affairs Medical Ctr
50 Irving Street NW, Mail Stop 11C
Washington, DC 20422 - Phone
- (202) 745-8000
- NPI assigned
- Sep 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD035886 | DC | Primary |
Addresses
Primary practice location
Dept of Veterans Affairs Medical Ctr
50 Irving Street NW, Mail Stop 11C
Washington, DC 20422
Mailing address
Dept of Veterans Affairs Medical Ctr
50 Irving Street NW, Mail Stop 11C
Washington, DC 20422
Phone (202) 745-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD035886 | Other | DC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140227000131 | DC | Order and Referring Only - Internal Medicine | 1254561848 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035886 | DC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225132384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT OF VETERANS AFFAIRS MEDICAL CTR",
"address_2": "50 IRVING STREET NW, MAIL STOP 11C",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20422",
"telephone_number": "202-745-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF VETERANS AFFAIRS MEDICAL CTR",
"address_2": "50 IRVING STREET NW, MAIL STOP 11C",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20422",
"telephone_number": "202-745-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "ELIZABETH",
"middle_name": "SOUTH",
"name_prefix": "Dr.",
"credential": "M.D., J.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD035886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD035886",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.