Trinity Diabetes and Endocrine Clinic,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35784 Issued in TN

Legal business name

TRINITY DIABETES AND ENDOCRINE CLINIC,P.C.

Practice address

2782 N Highland Ave Ste D
Jackson, TN 38305-1797

Phone

(731) 421-8908

Fax

(731) 421-8469

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ernest K Antwi, M.D.

Title

Physcian

Phone

(731) 421-8908

Specialties & licenses 1

Addresses

Other names 1

• Ernest K. Antwi Doing business as

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1760745269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 N HIGHLAND AVE STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051797",
            "telephone_number": "731-421-8908",
            "fax_number": "731-421-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 N HIGHLAND AVE STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051797",
            "telephone_number": "731-421-8908",
            "fax_number": "731-421-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DIABETES AND ENDOCRINE CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "ANTWI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "731-421-8908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "35784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ernest K. Antwi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Christine Treadway, SP
• Noreen M Trefz, LPC, MHSP
• Mary Ann Tremblay, LPC, MHSP, CEAP
• Tri State Muller Optical Inc
• Tri-County Home Health and Hospice, LLC
• Caitlyn Trostel, MD
• Truecare Physicians Clinic of Jackson PLLC
• Devan Trull, DO
• Haley Trull, CCC-SLP
• Aubrey Tucker

• Specialist in Jackson, TN
• Providers in Jackson, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.