Individual provider Active NPI

John L Trench III, DPM

  • Foot Surgery Podiatrist
  • Terre Haute, IN
National Provider Identifier
1487749305
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000711A Issued in IN
Practice address
1216 Wabash Ave
Terre Haute, IN 47807-3312
Phone
(812) 232-0957
Fax
(812) 242-1563
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 07000711A IN Primary

Addresses

Primary practice location

1216 Wabash Ave
Terre Haute, IN 47807-3312

Mailing address

303 S 14TH St
Terre Haute, IN 47807-4019
Phone (812) 232-0957

Other identifiers 1

IdentifierTypeStateIssuer
100350020MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000338 IN Practitioner - Podiatry 1850371287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 S 14TH St
Terre Haute, IN 47807-4019
Phone (812) 232-0957

3901 S 7TH St
Terre Haute, IN 47802-5709
Phone (812) 232-0021

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue191
Removal or shaving of skin growth36
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc. Current Accepting new patients
Advanced Wound & Limb Care Center Inc. CurrentSince Jul 5, 2006 Accepting new patients

Locations

303 S 14th St
Terre Haute, IN 47807
Phone (812) 232-0957

1216 Wabash Ave
Terre Haute, IN 47807
Phone (812) 232-0957

Interoperability endpoints

  • Direct secure messaging: jtrench@unionhealth.cernerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1487749305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 14TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074019",
            "telephone_number": "812-232-0957",
            "fax_number": "812-242-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073312",
            "telephone_number": "812-232-0957",
            "fax_number": "812-242-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENCH",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000711A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100350020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.