Eric E Trevelline, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

10322 Issued in MT

Practice address

2831 Fort Missoula Rd
Suite 303
Missoula, MT 59804-7419

Phone

(406) 327-4685

Fax

(406) 327-4785

NPI assigned

Aug 21, 2006

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eric E Trevelline MD Inc.

  • Gastroenterology Physician
  • Missoula, MT
  • NPI 1316053895
  Authorized official Same address or phone
• Powell County Memorial Hospital Association Inc

  dba Deer Lodge Medical Center

  • Family Medicine Physician
  • Deer Lodge, MT
  • NPI 1841414026
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1437265915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-327-4685",
            "fax_number": "406-327-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD",
            "address_2": "SUITE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-327-4685",
            "fax_number": "406-327-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVELLINE",
        "first_name": "ERIC",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "10322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "95145",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076143",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00040972",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Trauscht, MD
• Destyni Travers, DMD
• Treasure State Caregivers LLC
• Treasure State Orthotic & Prosthetic Clinic, Inc.
• Marilyn Gail Trenfield-Joyner, FNP
• Erica Jo Tribble, LCSW
• Triple Arrow Nutrition
• Stephanie Elizabeth Tripp, PHYSICIAN ASSISTANT
• Melanie Troftgruben, PA-C
• Marianne Moon Tronstad

• Gastroenterology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Gastroenterology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.