Triangle Medical, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS006195-L Issued in PA

Legal business name

TRIANGLE MEDICAL, INC.

Practice address

1202 Locust St
Suite 201
Philadelphia, PA 19107-5605

Phone

(215) 545-0170

Fax

(215) 545-8677

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark T Watkins, D.O.

Title

Owner/Physician

Phone

(215) 545-0170

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca M Calder, P.A.-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1881993988
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1275707671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOCUST ST",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075605",
            "telephone_number": "215-545-0170",
            "fax_number": "215-545-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 LOCUST ST",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075605",
            "telephone_number": "215-545-0170",
            "fax_number": "215-545-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "215-545-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006195-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-State Sport and Spine, PLLC
• Tri-State Sport and Spine, PLLC
• Tri-Tech Health PA, LLC (Tri-Tech Healthcare, LLC)
• Austin James Triana, MD
• Lauren Triana, M.A. CCC-SLP
• Charles Tribe
• Peter J Tribulski
• Trice Family Care (N/a)
• Quamiir Ryshi Trice
• Tricounty Medical Equipment and Supply, LLC (Miller Medical Equipment)

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.