Organization Active NPI

Total Trauma Care, PLLC

Doing business as Advent Healthcare

  • Orthopaedic Trauma Physician
  • Waco, TX
National Provider Identifier
1750706347
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
TOTAL TRAUMA CARE, PLLC
Doing business as
Advent Healthcare
Practice address
5100 Franklin Ave Ste C
Waco, TX 76710-6922
Phone
(888) 624-6882
Fax
(888) 882-4498
NPI assigned
Feb 19, 2014
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Becky Trevathan
Title
Credentialing Specialist
Phone
(254) 340-4046

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X Primary

Addresses

Primary practice location

5100 Franklin Ave Ste C
Waco, TX 76710-6922

Mailing address

PO Box 22237
Belfast, ME 04915-4473
Phone (888) 624-6882

Other practice location 1

500 Medical Center Blvd Ste 220
Conroe, TX 77304-2800
Phone (936) 256-3883

Other practice location 2

10857 Kuykendahl Rd Ste 120
The Woodlands, TX 77382-2936
Phone (936) 256-3883

Other practice location 3

3500 Hillcrest Dr Ste 1
Waco, TX 76708-3144
Phone (888) 624-6882

Other names 1

  • Advent Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1501 River Pointe Dr
Conroe, TX 77304
Phone (936) 539-2663

1501 River Pointe Dr
Ste 100
Conroe, TX 77304
Phone (713) 497-5335

2401 W Oak St
Ste 101
Denton, TX 76201
Phone (940) 312-5943

3500 Hillcrest Dr
Waco, TX 76708
Phone (254) 447-4539

Practitioners & affiliated clinicians

Practitioners 3

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1750706347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22237",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154473",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 FRANKLIN AVE STE C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106922",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Medical Center Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042800",
            "country_code": "US",
            "telephone_number": "936-256-3883",
            "fax_number": "936-398-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10857 Kuykendahl Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773822936",
            "country_code": "US",
            "telephone_number": "936-256-3883",
            "fax_number": "936-256-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Hillcrest Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767083144",
            "country_code": "US",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL TRAUMA CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "TREVATHAN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "254-340-4046"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advent Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advent Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.