Mary M. Trites, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26084 Issued in MN

Legal business name

MARY M. TRITES, P.A.

Practice address

1303 29TH Ave NW
New Brighton, MN 55112-6386

Phone

(651) 249-7890

Fax

(888) 582-8339

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mary Moe Trites, M.D.

Title

President

Phone

(651) 249-7890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1740624733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 29TH AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126386",
            "telephone_number": "651-249-7890",
            "fax_number": "888-582-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 29TH AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126386",
            "telephone_number": "651-249-7890",
            "fax_number": "888-582-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M. TRITES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "TRITES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-249-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "26084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Markstrom, B.S.
• Amy Marie Markuson, LGSW
• Emily Erin Marthaler, CRNA
• Matthew Alexander Martin, LADC, LPCC
• Meredith Anne Martyr, PHD
• Marilyn Joy Fiske Mast, MS COUNSELING
• Susanna Elizabeth Matlon
• Matthew D. Berg, D.D.S., P.a.
• MBH-MN Medical Clinic PA
• Marzack Balasco McAllister, LADC

• Family Medicine Physician in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.