Trident Neonatology Services LLC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

TRIDENT NEONATOLOGY SERVICES LLC

Practice address

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Phone

(843) 797-4272

Fax

(843) 797-4255

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert England

Title

VP

Phone

(800) 661-3365

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295724334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-797-4272",
            "fax_number": "843-797-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-797-4272",
            "fax_number": "843-797-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT NEONATOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-661-3365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4028",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trident Medical Center, LLC
• Trident Medical Center, LLC
• Trident Medical Center, LLC
• Trident Medical Center, LLC
• Trident Medical Services D/B/a Trident Senior Health Center
• Trident Pain Center LLC
• Trident Senior Health Center
• Trident Vision Center Inc
• Mary Victoria Trimble, CRNA
• Trinity Mission of Charleston, LLC

• Neonatal-Perinatal Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Neonatal-Perinatal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.