Trinity International University

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRINITY INTERNATIONAL UNIVERSITY

Doing business as

TIU Sports Medicine

Practice address

2065 Half Day Rd
Deerfield, IL 60015-1241

Phone

(972) 367-4845

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By 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

Mouzon Bass III

Title

Administration/Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• TIU Sports Medicine Doing business as

Locations

Practitioners 1

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.

• Ashley Zeltwanger

  • Athletic Trainer
  • Topeka, KS
  • NPI 1063812444
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1508463746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 HALF DAY RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151241",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTERNATIONAL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "ADMINISTRATION/AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea L. Torres, APN-CNP
• Elizabeth Torres, REGISTERED DIETITIAN
• Raphaella Tran, OD, MS
• Tracy Tran
• Ronald Lee Treiber, D.D.S.
• Cynthia Tsang, PHARM.D.
• Victoria Tuchscherer, PH.D.
• Valerie Turck, MSW
• Ultrasound Mobile Service, LTD
• David M Umali

• Family Medicine Physician in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.