Active NPI
Trumbull Physician Services PC, Inc
- Hospitalist Physician
- Warren, OH
National Provider Identifier
1386002343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- TRUMBULL PHYSICIAN SERVICES PC, INC
- Practice address
- 1350 E Market St
Warren, OH 44483 - Phone
- (330) 841-9011
- NPI assigned
- Feb 5, 2016
- Last updated
- Aug 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jude Malican, MD
- Title
- President
- Phone
- (800) 839-9698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
1350 E Market St
Warren, OH 44483
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Other practice location 1
1350 E Market St Fl 9
Warren, OH 44483-6608
Phone (219) 240-0450
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1629019344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1386002343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "44483",
"telephone_number": "330-841-9011"
}
],
"practiceLocations": [
{
"address_1": "1350 E Market St Fl 9",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444836608",
"country_code": "US",
"telephone_number": "219-240-0450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRUMBULL PHYSICIAN SERVICES PC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-05",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "MALICAN",
"authorized_official_first_name": "JUDE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-839-9698",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.