Organization Active NPI

Trinity Loveless, MD, PLLC

  • Medical Specialty Clinic/Center
  • Yukon, OK
National Provider Identifier
1629310230
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25703 Issued in OK
Legal business name
TRINITY LOVELESS, MD, PLLC
Practice address
812 S Mustang Rd
Yukon, OK 73099-6719
Phone
(405) 265-3900
Fax
(405) 265-3905
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Trinity Michele Loveless, M.D.NPI 1255537379
Title
Physician/Owner
Phone
(405) 265-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25703 OK Primary

Addresses

Primary practice location

812 S Mustang Rd
Yukon, OK 73099-6719

Mailing address

812 S Mustang Rd
Yukon, OK 73099-6719
Phone (405) 265-3900

Other identifiers 1

IdentifierTypeStateIssuer
200173810AMedicaidOK

Other names 1

  • A Place to Grow Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2060512A Place to Grow Pediatrics812 South Mustang Road, Yukon, OK 73099Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

812 S Mustang Rd
Yukon, OK 73099
Phone (405) 265-3900

821 S Mustang Rd
Yukon, OK 73099

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1629310230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996719",
            "telephone_number": "405-265-3900",
            "fax_number": "405-265-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996719",
            "telephone_number": "405-265-3900",
            "fax_number": "405-265-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY LOVELESS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-265-3900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "25703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200173810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place to Grow Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.