Trisha Michelle Harris-Odimgbe, PA
Individual provider Active NPI Physician Assistant · Houston, TX
NPI 1295869030 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1295869030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA05187 (TX)
- Practice address
- 1504 Taub Loop
Surgery Emergency Center
Houston, TX 77030-1608 - Phone
- (713) 873-2626
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The St Thomas East End Medical Center Corporation
Practice addresses (Care Compare)
4605 Tutu Park Mall
Suite 207
St Thomas, VI 00802-1736
Phone (340) 775-3700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220126002268 | VI | Practitioner - Physician Assistant | 4688775331 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Orthopedics LLC | Current |
Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Frederiksted Health Care, Inc. | Past | Accepting new patients |
Locations
9151 Estate Thomas
Ste 206
St Thomas, VI 00802
Interoperability endpoints
- trisha.harris.p1@direct.frederikstedhealthvi.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05187 | TX | Yes |
Addresses
Primary practice location
1504 Taub Loop
Surgery Emergency Center
Houston, TX 77030-1608
Mailing address
9151 Estate Thomas
Foothills Prof BLDG 206
St Thomas, VI 00802
Phone (340) 779-2663
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.