Active NPI
Trimana LLC
Doing business as Via Medical Center
- Specialist
- Fayetteville, AR
National Provider Identifier
1841600830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TRIMANA LLC
- Doing business as
- Via Medical Center
- Practice address
- 2875 E Joyce Blvd
Fayetteville, AR 72703-4524 - Phone
- (479) 966-4999
- Fax
- (479) 966-4987
- NPI assigned
- Apr 30, 2014
- Last updated
- Apr 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirranna M Todd, BA
- Title
- Owner/Operator
- Phone
- (479) 301-8829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2875 E Joyce Blvd
Fayetteville, AR 72703-4524
Mailing address
2875 E Joyce Blvd
Fayetteville, AR 72703-4524
Phone (479) 966-4999
Other names 1
- Via Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Trimana
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1841600830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034524",
"telephone_number": "479-966-4999",
"fax_number": "479-966-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034524",
"telephone_number": "479-966-4999",
"fax_number": "479-966-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIMANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "SHIRRANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "479-301-8829",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Via Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.