Active NPI
Trisha A Gargiulo, PA
- Physician Assistant
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07862
- Practice address
- 2000 Washington St
Suite 441 White BLDG
Newton, MA 02462-1650 - Phone
- (617) 964-9070
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2569 | MA | |
| Physician Assistant | 363A00000X | PA07862 | TX | Primary |
Addresses
Primary practice location
2000 Washington St
Suite 441 White BLDG
Newton, MA 02462-1650
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other practice location 1
703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone (903) 525-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2569 | Other | MA | PHYSICIAN ASST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07862 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Questcare Medical Services, PLLC | Physician Assistant | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Veeone Medical Group Texas PA | Past | Accepting new patients | |
| Acp of Dallas PLLC | Past | Accepting new patients |
Locations
3400 W Wheatland Rd
Ste 360
Dallas, TX 75237
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Internal Medicine Physician
- Plano, TX
- NPI 1437502481
-
- Internal Medicine Physician
- Plano, TX
- NPI 1750060380
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Nurse Practitioner
- Arlington, TX
- NPI 1497807713
Physician Assistant
-
- Internal Medicine Physician
- Plano, TX
- NPI 1497626774
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1477199321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1710142393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 441 WHITE BLDG",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-964-9070"
}
],
"practiceLocations": [
{
"address_1": "703 S Fleishel Ave Ste 5000",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012015",
"country_code": "US",
"telephone_number": "903-525-2992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARGIULO",
"first_name": "TRISHA",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "2569",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASST LICENSE",
"identifier": "2569",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.