Total Trauma Care, PLLC

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

Legal business name

TOTAL TRAUMA CARE, PLLC

Practice address

5100 Franklin Ave Ste C
Waco, TX 76710-6922

Phone

(888) 624-6882

Fax

(888) 882-4498

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Advent Healthcare Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Beden, REGISTERED NURSE

  • Registered Nurse
  • Waco, TX
  • NPI 1568837581
  NPD (past)
• Hadassah Lemorah Matthews, APRN, FNP-C

  • Family Nurse Practitioner
  • Waco, TX
  • NPI 1124996277
  NPD (past)
• David W Sudbrink, MD

  • Orthopaedic Surgery Physician
  • Fort Smith, AR
  • NPI 1730118290
  NPD (past)

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": "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": "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": "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338817501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advent Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advent Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tony a. Payson, M.D., P.a.
• Omair Hafeez Toor, D.O.
• Miguel Torres Medrano, NP
• Jazzmine Torres, BT
• Total Sleep Contract Services
• Morgan Nicole Tovar, MD
• Charles F Town, D.D.S.
• Joyce D Townsel
• Mikayla Danielle Townsend, BT
• Landon Michael Trahan

• Orthopaedic Trauma Physician in Waco, TX
• Providers in Waco, TX by specialty
• Orthopaedic Trauma Physician in Texas

• 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.