Active NPI
Joseph T. Tretta, DO, PA
- Otolaryngology Physician
- Palestine, TX
National Provider Identifier
1861526352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- F7643
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033NA | Other | TX | BLUE CROSS BLUE SHIED |
Other names 1
- Ears, Nose & Throat of East Texas
National Provider Directory
National Provider DirectoryNPI 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.