Gary W Trowbridge, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000351A Issued in IN

Practice address

1033 N Indiana Ave
Syracuse, IN 46567-1017

Phone

(574) 457-5701

Fax

(574) 457-5609

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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.

• Syracuse Family Practice, LLC

  • Family Medicine Physician
  • Syracuse, IN
  • NPI 1770613879
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2014.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1881704765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N INDIANA AVE",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671017",
            "telephone_number": "574-457-5701",
            "fax_number": "574-457-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N INDIANA AVE",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671017",
            "telephone_number": "574-457-5701",
            "fax_number": "574-457-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROWBRIDGE",
        "first_name": "GARY",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000351A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syracuse Family Practice, LLC
• The Waters of Syracuse Skilled Nursing Facility LLC
• Tracy Thompson Fites
• James R Thwaits, D.C.
• Town of Syracuse
• Karla Troyer, DO
• Turkey Creek Civil TWP
• Turkey Creek Fire Territory
• Elizabeth Voirol, DO
• Lauren Warner, DC

• All providers in Syracuse, IN
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.