Total Trauma Care, PLLC

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

Legal business name

TOTAL TRAUMA CARE, PLLC

Practice address

9200 Pinecroft Dr Ste 280
Shenandoah, TX 77380-3281

Phone

(888) 624-6882

Fax

(888) 882-4498

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Clinton Black

Title

Ceo/Legal Counsel

Phone

(888) 624-6882

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advent Orthopaedics Doing business as

Locations

Practitioners 1

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

• Lance A. Ellis, DO

  • Orthopaedic Surgery of the Spine Physician
  • Gatesville, TX
  • NPI 1508826074
  NPD

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790235083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DR",
            "address_2": "STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083144",
            "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": "9200 PINECROFT DR STE 280",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803281",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Medical Center Blvd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042800",
            "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": "2016-10-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CEO/LEGAL COUNSEL",
        "authorized_official_telephone_number": "888-624-6882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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 Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Tipton Faust
• TMH Physician Associates PLLC
• Shivani M Toma, MD
• Clayton Ross Toole, DPM
• Norman Jose Torres, M.D.
• Brett Aldon Tracy, FNP-C
• Alexandrya Tran, APRN, NP-C
• Duyen My Tran, MD
• Trang T Than OD PA
• Tranquility and Wellness Health Services PLLC

• Orthopaedic Trauma Physician in Shenandoah, TX
• Providers in Shenandoah, 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 Mar 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.