Thomas Jason Trubenbach, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200550156NP Issued in OR

Practice address

1311 E Barnett Rd
Suite 201
Medford, OR 97504-8225

Phone

(541) 779-5007

Fax

(541) 779-2055

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern Oregon Spine Care, P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Medford, OR
  • NPI 1912349580
  NPD
• Raymond a Millette

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1053483057
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1396759916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E BARNETT RD",
            "address_2": "SUITE 201",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048225",
            "telephone_number": "541-779-5007",
            "fax_number": "541-779-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E BARNETT RD",
            "address_2": "SUITE 201",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048225",
            "telephone_number": "541-779-5007",
            "fax_number": "541-779-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBENBACH",
        "first_name": "THOMAS",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550156NP",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "200040988RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297670",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dannielle Trotter
• Trout Anesthesia
• Barry Trowbridge, MD
• Melissa Troy, LCSW
• Michael J Troychak, M.D.
• True Colors Counseling LLC
• True North Counseling LLC
• Robert Joseph Trujillo, MD
• Adena Day Tryon, L.C.S.W
• Misty Dawn Tryon

• Family Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.