Trout Lake Inpatient Services, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

TROUT LAKE INPATIENT SERVICES, LLC

Practice address

2190 Highway 85 N
Niceville, FL 32578-1045

Phone

(850) 678-4131

Fax

(800) 305-3233

NPI assigned

Jul 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. Gregory J Byrne, M.D.

Title

President/Authorized Official

Phone

(214) 712-2000

Specialties & licenses 1

Addresses

Practitioners 4

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

• Kimberly Anne Berggren, PA-C

  • Physician Assistant
  • Eglin AFB, FL
  • NPI 1730349242
  NPD (past)
• Kaetlin H Jetton, PA-C

  • Medical Physician Assistant
  • Miramar Beach, FL
  • NPI 1740543008
  NPD (past)
• Leah Tedder

  • Physician Assistant
  • Niceville, FL
  • NPI 1093045569
  NPD (past)
• Dusty Reed Schreckenbach, DO

  • Physician Assistant
  • Shreveport, LA
  • NPI 1770884892
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1780026542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528",
            "telephone_number": "800-507-8874",
            "fax_number": "727-536-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 HIGHWAY 85 N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781045",
            "telephone_number": "850-678-4131",
            "fax_number": "800-305-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROUT LAKE INPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titan Hospitalist Group LLC
• Emily Towery, CRNP
• Tracey R Burton Lindner MD PA Dba (Pediatrics Of Okaloosa)
• Isabel Tran
• Katrina L Tringas, MD
• True Joy Counseling and Consulting, PLLC
• Tuladhar Dentistry Holdings PLLC
• Justin Turner, D.C.
• Roberta M Turner, ARNP
• Twin Cities Anesthesia Associates, PL

• Hospitalist Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.