Trinity Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRINITY MEDICAL GROUP

Practice address

550 Pope Ave
Pope Medical Plaza
Winter Haven, FL 33881

Phone

(863) 293-2144

Fax

(863) 293-3732

NPI assigned

Nov 6, 2012

Organization subpart

Yes

Parent organization

PRQ, INC DBA PEDIATRIC PARTNERS OF WHAs reported in NPPES

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

Authorized official

Name

Kelly A Stanwood

Title

Clinic Administrator

Phone

(863) 401-8516

Specialties & licenses 1

Addresses

Other names 1

• PRQ, Inc dba Pediatric Partners of WH Doing business as

Part of

Trinity Medical Group

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EADGAA

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1740534262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "POPE MEDICAL PLAZA",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-293-2144",
            "fax_number": "863-293-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "POPE MEDICAL PLAZA",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-293-2144",
            "fax_number": "863-293-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRQ, INC DBA PEDIATRIC PARTNERS OF WH",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "STANWOOD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "863-401-8516"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRQ, Inc dba Pediatric Partners of WH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tranchau Hoang DMD, PLLC
• Stephanie Taylor Treadwell
• Valeria Patricia Trelles Garcia, MD
• Juliana Marra Trimarche, COTA/L
• Trinity Endodontics of Greater Winter Haven
• Trinity Medical Physicians, LLC
• Trinity Medical Physicians, LLC
• Sara Triplett
• Richard Earl Trippensee, DDS
• Pranav Navinchandra Trivedi, PT

• Family Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.