Organization Active NPI

Trimas Family Care PLLC

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1881878569
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRIMAS FAMILY CARE PLLC
Practice address
3165 County Farm Rd
Jackson, MI 49201-4101
Phone
(517) 787-8015
Fax
(517) 787-5520
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Eric Todd Trimas, D.O.
Title
Owner
Phone
(517) 787-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3165 County Farm Rd
Jackson, MI 49201-4101

Mailing address

PO Box 6007
Jackson, MI 49204-6007
Phone (517) 787-8015

Other identifiers 4

IdentifierTypeStateIssuer
080C812140OtherMIBCBS
0853800284OtherMIBCBS
4577084MedicaidMI
P64231OtherMIBCN

National Provider Directory

National Provider Directory

Locations

3165 County Farm Rd
Jackson, MI 49201
Phone (517) 787-8015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1881878569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6007",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492046007",
            "telephone_number": "517-787-8015",
            "fax_number": "517-787-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 COUNTY FARM RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492014101",
            "telephone_number": "517-787-8015",
            "fax_number": "517-787-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMAS FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "TRIMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-787-8015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080C812140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0853800284",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4577084",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P64231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.