Active NPI
Waco Primary Care, P.a.
- Family Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K3028
- Legal business name
- WACO PRIMARY CARE, P.A.
- Practice address
- 7100 Old McGregor Rd
Waco, TX 76712-6120 - Phone
- (254) 399-6545
- Fax
- (254) 399-6558
- NPI assigned
- Jul 12, 2011
- 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
- Dr. Karl Trippe, M.D.
- Title
- Physician/Owner
- Phone
- (254) 399-6545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K3028 | TX | Primary |
Addresses
Primary practice location
7100 Old McGregor Rd
Waco, TX 76712-6120
Mailing address
7100 Old McGregor Rd
Waco, TX 76712-6120
Phone (254) 399-6545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285856501 | Medicaid | TX | |
| 285856502 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2040722 | Waco Primary Care, PA | Certificate of waiver | May 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
7100 Old McGregor Rd
Woodway, TX 76712
Phone (254) 399-6545
Interoperability endpoints
- https://api.platform.athenahealth.com/3439/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Waco, TX
- NPI 1285615674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1245528249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 OLD MCGREGOR RD",
"city": "WACO",
"state": "TX",
"postal_code": "767126120",
"telephone_number": "254-399-6545",
"fax_number": "254-399-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 OLD MCGREGOR RD",
"city": "WACO",
"state": "TX",
"postal_code": "767126120",
"telephone_number": "254-399-6545",
"fax_number": "254-399-6558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WACO PRIMARY CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "TRIPPE",
"authorized_official_first_name": "KARL",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "254-399-6545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K3028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285856501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285856502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.