Active NPI
Laurie E Trosin, MD
- Pediatrics Physician
- Elizabethton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 46537
- Practice address
- 1503 W Elk Ave Ste 12
Elizabethton, TN 37643-2883 - Phone
- (423) 547-9400
- Fax
- (423) 547-9401
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 46537 | TN | Primary |
Addresses
Primary practice location
1503 W Elk Ave Ste 12
Elizabethton, TN 37643-2883
Mailing address
215 E Springbrook Dr
Johnson City, TN 37601-1761
Phone (423) 547-9400
Other practice location 1
2002 Brookside Dr Ste 200
Kingsport, TN 37660-4634
Phone (423) 530-7970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200302002680 | TN | Practitioner - Pediatric Medicine | 3971930066 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46537 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Pediatrics | Current | Accepting new patients |
| Mountain States Health Alliance | Past | Accepting new patients | |
| Riverside Pedatrics PLLC | Pediatrics | Past | Accepting new patients |
Locations
1503 W Elk Ave
Ste 12
Elizabethton, TN 37643
Phone (423) 547-7940
5000 Monarch Pt
Greeneville, TN 37745
Phone (423) 636-2770
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900
2002 Brookside Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3933
Interoperability endpoints
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
Pediatrics, TN
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1801948427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E SPRINGBROOK DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011761",
"telephone_number": "423-547-9400",
"fax_number": "423-547-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 W ELK AVE STE 12",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432883",
"telephone_number": "423-547-9400",
"fax_number": "423-547-9401"
}
],
"practiceLocations": [
{
"address_1": "2002 Brookside Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604634",
"country_code": "US",
"telephone_number": "423-530-7970",
"fax_number": "423-530-7971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROSIN",
"first_name": "LAURIE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "46537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.