Organization Active NPI

Trinity Medical of Kentucky

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1437568219
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45681 Issued in KY
Legal business name
TRINITY MEDICAL OF KENTUCKY
Practice address
8712 Notting Hill Way
Knoxville, TN 37923-5912
Phone
(865) 212-2211
Fax
(626) 544-1629
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Jairo Alfredo Fortich, M.D.
Title
Owner/Physician
Phone
(865) 212-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 45681 KY Primary

Addresses

Primary practice location

8712 Notting Hill Way
Knoxville, TN 37923-5912

Mailing address

8712 Notting Hill Way
Knoxville, TN 37923-5912
Phone (865) 212-2211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1437568219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 NOTTING HILL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235912",
            "telephone_number": "865-212-2211",
            "fax_number": "626-544-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 NOTTING HILL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235912",
            "telephone_number": "865-212-2211",
            "fax_number": "626-544-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "FORTICH",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "865-212-2211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "45681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.