Active NPI
Trevor Jordan Wait, M.D.
- Orthopaedic Surgery Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- U1157
- Practice address
- 175 Inverness Dr W
Englewood, CO 80112-5065 - Phone
- (720) 848-0000
- NPI assigned
- Apr 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | DR.0068328 | CO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | U1157 | TX | |
| Orthopaedic Surgery Physician | 207X00000X | U1157 | TX | Primary |
Addresses
Primary practice location
175 Inverness Dr W
Englewood, CO 80112-5065
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400
Other practice location 1
3133 Good Shepherd Way
Longview, TX 75605-7921
Phone (903) 315-3646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at San Antonio, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3133 Good Shepherd Way
Longview, TX 75605-7921
Phone (903) 315-4422
323 E Hawkins Pkwy
Longview, TX 75605-8153
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Highland Park Senior Care
- Christus Good Shepherd Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
| Removal of tissue | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1157 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3133 Good Shepherd Way
Longview, TX 75605
Phone (903) 315-4422
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- mwait325137@christushealth.direct-ci.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Orthopaedic Surgery
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- Home Health Agency
- Longview, TX
- NPI 1336515832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1366977860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-606-6400",
"fax_number": "903-606-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 INVERNESS DR W",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125065",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "3133 Good Shepherd Way",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756057921",
"country_code": "US",
"telephone_number": "903-315-3646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAIT",
"first_name": "TREVOR",
"middle_name": "JORDAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-22",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "DR.0068328",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "U1157",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "U1157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.