Organization Active NPI

Trinity Iom, PA

  • Clinical Neurophysiology Physician
  • Crosby, TX
National Provider Identifier
1346585718
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
TRINITY IOM, PA
Practice address
18302 Noyce Rd
Crosby, TX 77532-7807
Phone
(281) 346-3480
Fax
(832) 581-4677
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Jeff Kropholler
Title
Director
Phone
(254) 221-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

18302 Noyce Rd
Crosby, TX 77532-7807

Mailing address

PO Box 204166
Dallas, TX 75320-4166
Phone (281) 346-3480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1346585718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204166",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204166",
            "telephone_number": "281-346-3480",
            "fax_number": "832-581-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 NOYCE RD",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775327807",
            "telephone_number": "281-346-3480",
            "fax_number": "832-581-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY IOM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KROPHOLLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-221-2900"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.