NPIMap

Organization Active NPI

Dr. Molly B. Trostle, DO, Internal Medicine, Inc.

  • Primary Care Clinic/Center
  • Ebensburg, PA
National Provider Identifier
1710124748
Registry record updated Jan 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS-011902 Issued in PA
Legal business name
DR. MOLLY B. TROSTLE, DO, INTERNAL MEDICINE, INC.
Practice address
881 Hills PLZ
Suite530
Ebensburg, PA 15931-4213
Phone
(814) 419-8084
Fax
(814) 419-8053
NPI assigned
Jan 13, 2009
Last updated
Jan 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2009

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

Authorized official

Name
Dr. Molly B. Trostle, DONPI 1386616175
Title
Owner/Physician
Phone
(814) 419-8084

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
Primary Care Clinic/Center 261QP2300X OS-011902 PA Primary

Addresses

Primary practice location

881 Hills PLZ
Suite530
Ebensburg, PA 15931-4213

Mailing address

881 Hills PLZ
Suite 530
Ebensburg, PA 15931-4213
Phone (814) 419-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000090 PA Part B Supplier - Clinic/Group Practice 5092879957 Receives reassigned benefits from 9 practitioners
Practice locations: Ebensburg, PA; Johnstown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232841600000",
    "number": "1710124748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "address_2": "SUITE 530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084",
            "fax_number": "814-419-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "address_2": "SUITE530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084",
            "fax_number": "814-419-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOLLY B. TROSTLE, DO, INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-25",
        "status": "A",
        "authorized_official_last_name": "TROSTLE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "814-419-8084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS-011902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.