Organization Active NPI

Joseph T. Tretta, DO, PA

  • Otolaryngology Physician
  • Palestine, TX
National Provider Identifier
1861526352
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
F7643 Issued in TX
Legal business name
JOSEPH T. TRETTA, DO, PA
Doing business as
Ears, Nose & Throat of East Texas
Practice address
123 Medical Dr Ste a
Palestine, TX 75801-8507
Phone
(903) 723-9009
Fax
(903) 723-0236
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mrs. Connie J Tretta
Title
Nurse
Phone
(903) 723-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X F7643 TX Primary

Addresses

Primary practice location

123 Medical Dr Ste a
Palestine, TX 75801-8507

Mailing address

123 Medical Dr Ste a
Palestine, TX 75801-8507
Phone (903) 723-9009

Other identifiers 1

IdentifierTypeStateIssuer
0033NAOtherTXBLUE CROSS BLUE SHIED

Other names 1

  • Ears, Nose & Throat of East Texas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1861526352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDICAL DR STE A",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018507",
            "telephone_number": "903-723-9009",
            "fax_number": "903-723-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL DR STE A",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018507",
            "telephone_number": "903-723-9009",
            "fax_number": "903-723-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH T. TRETTA, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "TRETTA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "903-723-9009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "F7643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIED",
            "identifier": "0033NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ears, Nose & Throat of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.