Active NPI
Trimas Family Care PLLC
- Family Medicine Physician
- Jackson, MI
National Provider Identifier
1881878569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080C812140 | Other | MI | BCBS |
| 0853800284 | Other | MI | BCBS |
| 4577084 | Medicaid | MI | |
| P64231 | Other | MI | BCN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Jackson, MI
- NPI 1356510432
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.