Active NPI
Robert J Trimarche, PA-C
- Physician Assistant
- Forest, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004190
- Practice address
- 1019 Vista Park Dr
Ste a
Forest, VA 24551-4901 - Phone
- (434) 200-9009
- Fax
- (434) 200-9005
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 104127 | NC | |
| Physician Assistant | 363A00000X | 0110004190 | VA | Primary |
Addresses
Primary practice location
1019 Vista Park Dr
Ste a
Forest, VA 24551-4901
Mailing address
1019 Vista Park Dr
Ste a
Forest, VA 24551-4901
Phone (434) 200-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104127 | NC | MD | Physician Assistant |
| 0110004190 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Centra Health Professional Services, LLC | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
2103 Graves Mill Rd
Forest, VA 24551
Phone (434) 316-7190
1019 Vista Park Dr
Ste A
Forest, VA 24551
Phone (434) 200-9009
2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035
2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- addictionallies.roberttrimarche@150196.advancedmd-direct.com
Organizations & group practices 6
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.
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- NPI 1144241795
-
- Pain Medicine (Psychiatry & Neurology) Physician
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- NPI 1811715436
-
- Internal Medicine Physician
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- NPI 1255388369
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1811904006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 VISTA PARK DR",
"address_2": "STE A",
"city": "FOREST",
"state": "VA",
"postal_code": "245514901",
"telephone_number": "434-200-9009",
"fax_number": "434-200-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 VISTA PARK DR",
"address_2": "STE A",
"city": "FOREST",
"state": "VA",
"postal_code": "245514901",
"telephone_number": "434-200-9009",
"fax_number": "434-200-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMARCHE",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "104127",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.