C David Trimble, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-00-1970T Issued in OH

Practice address

415 W Russ Rd
Greenville, OH 45331-2457

Phone

(937) 548-1244

Fax

(937) 548-8898

NPI assigned

Aug 11, 2005

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/89qRxg50XNEvJ1rMzQ6E1GUFVYLjKcWl/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dayton Interventional Radiology LLC

  • Vascular & Interventional Radiology Physician
  • Kettering, OH
  • NPI 1316923915
  NPD (past)
• Western Ohio Podiatric Medical Center Inc

  • Podiatrist
  • Greenville, OH
  • NPI 1376643411
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1417959347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W RUSS RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312457",
            "telephone_number": "937-548-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W RUSS RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312457",
            "telephone_number": "937-548-1244",
            "fax_number": "937-548-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "C",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-1970T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timathy Allen Tidwell
• Rachel Tiller, DEM MIDWIFE
• Lynnette Lynn Trent
• Emily Trick, SLP
• Trilogy Healthcare of Greenville, LLC (Village Green Health Campus)
• Ashley A Trout, LPN
• Briana M Troutwine, LPC
• Ashley Ann Tuco
• Lance Turner, LCDCII
• Ezechukwu O Umeh, M.D.

• Podiatrist in Greenville, OH
• Providers in Greenville, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.