Tribbett Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01036854A Issued in IN

Legal business name

TRIBBETT FAMILY MEDICINE, LLC

Practice address

301 W Harrison St
Monticello, IN 47960-2211

Phone

(574) 240-1111

Fax

(574) 240-1113

NPI assigned

Feb 6, 2016

Last updated

Apr 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Tribbett, M.D.NPI 1164404893

Title

Owner

Phone

(574) 240-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Monticello Medical Center L2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monticello Medical Center, LLC

  • Specialist
  • Monticello, IN
  • NPI 1093781171
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Monticello Medical Center, LLC

  • Rural Health Clinic/Center
  • Monticello, IN
  • NPI 1871645531

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Charles R. Tribbett, M.D.

  • Family Medicine Physician
  • Monticello, IN
  • NPI 1164404893
  Medicare reassignment Care Compare group NPD Authorized official
• Kassie Anne Hunt, NP

  • Adult Health Nurse Practitioner
  • Monticello, IN
  • NPI 1730969593
  Medicare reassignment Care Compare group NPD
• Kevin D Slentz, MD

  • Surgery Physician
  • Lebanon, KY
  • NPI 1215991443
  NPD (past)

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1427416361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602211",
            "telephone_number": "574-240-1111",
            "fax_number": "574-240-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602211",
            "telephone_number": "574-240-1111",
            "fax_number": "574-240-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBBETT FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "TRIBBETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-240-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036854A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Health and Hospital Corporation of Marion County (Monticello Healthcare)
• Michelle Thedans
• Elsie N Thoma, RPH
• Thomas L Hadley DDS PC
• Thrive Pediatric Therapy LLC
• Charles R. Tribbett, M.D.
• Lucas Ian Trout, DDS
• Twin Lakes School Corporation
• Thomas Ulrich, RPH
• Utley Clinics Inc

• Family Medicine Physician in Monticello, IN
• Providers in Monticello, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.