Theodore Joseph Trumble II MD PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

J1150 Issued in TX

Legal business name

THEODORE JOSEPH TRUMBLE II MD PA

Practice address

7887 Cambridge St
Houston, TX 77054-2013

Phone

(281) 734-9268

Fax

(713) 218-7635

NPI assigned

Aug 18, 2006

Last updated

Jun 10, 2009By 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. Theodore Joseph Trumble II, M.D.NPI 1265492607

Title

Owner

Phone

(281) 734-9268

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Theodore Joseph Trumble II, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1265492607
  NPD Authorized official
• Denise Elaine Ertel-Moore, MSN, APRN, NP-BC

  • Gerontology Nurse Practitioner
  • Houston, TX
  • NPI 1639129364
  NPD (past)
• Terry Michael Lea, ANP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1750322913
  NPD (past)
• Biju Oommen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1801856240
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1629182431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2507",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772522507",
            "telephone_number": "281-734-9268",
            "fax_number": "713-218-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542013",
            "telephone_number": "281-734-9268",
            "fax_number": "713-218-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE JOSEPH TRUMBLE II MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "TRUMBLE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-734-9268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J1150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0019PS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189501301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sajini M. Thekkel, CRNA
• Jisha Geoffrey Thekkumthara, NP
• Theo Transportation
• Theo's Worth Wellness Center LLC
• Victoria Ashley Theobalds
• Theodore Otey, M.D., P.a.
• Theodore T. Otey
• Ashton Thephaphine
• Theracare Home Health LP
• Therahappy, PLLC

• Geriatric Medicine (Internal Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.