Traumatology

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G23690

Legal business name

TRAUMATOLOGY

Practice address

711 D Street
Suite 102
San Rafael, CA 94901

Phone

(415) 457-7414

Fax

(415) 460-2750

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Barry, MD

Title

Ceo

Phone

(415) 457-7414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1679656490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D STREET",
            "address_2": "SUITE 102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-457-7414",
            "fax_number": "415-460-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D STREET",
            "address_2": "SUITE 102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-457-7414",
            "fax_number": "415-460-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-457-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": "G23690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benson Toy, PHARM.D.
• An Tran
• Chau Tran, MSW, 2009
• Thi Tran, PA-C
• Thi Ngoc Anh Tran, PHARMD, RPH
• Mercedes Traverso, D.O.
• Trca Services LLC (HomeWell Senior Care)
• Catherine B. Treseler, MD
• Kaitlyn Trimarchi
• Michael Triolo

• Orthopaedic Surgery Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.