Individual provider Active NPI

Eric T Trimas, DO

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1669430179
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010233 Issued in MI
Practice address
3165 County Farm Rd
Trimas Family Care
Jackson, MI 49201-4101
Phone
(517) 787-8015
Fax
(517) 787-5520
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010233 MI Primary

Addresses

Primary practice location

3165 County Farm Rd
Trimas Family Care
Jackson, MI 49201-4101

Mailing address

PO Box 6007
Trimas Family Care
Jackson, MI 49204-6007
Phone (517) 787-8015

Other identifiers 1

IdentifierTypeStateIssuer
4577084MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etrimas452719@direct.hfhs.org Health Information Exchange (HIE) Henry Ford Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000394 MI Practitioner - Family PracticePractitioner - General Practice 3870561046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital Inc Family Medicine CurrentSince Feb 1, 2014 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Feb 1, 2014 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

3165 County Farm Rd
Jackson, MI 49201
Phone (517) 787-8015

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

Interoperability endpoints

  • Direct secure messaging: etrimas452719@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gentiva IIJackson, MI, CCN 231592 Hospice Contracted Managing Employee Mar 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1669430179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6007",
            "address_2": "TRIMAS FAMILY CARE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492046007",
            "telephone_number": "517-787-8015",
            "fax_number": "517-787-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 COUNTY FARM RD",
            "address_2": "TRIMAS FAMILY CARE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492014101",
            "telephone_number": "517-787-8015",
            "fax_number": "517-787-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMAS",
        "first_name": "ERIC",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4577084",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etrimas452719@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Health System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.