Active NPI
Trustees of Trinity College
- Orthopaedic Surgery Physician
- Hartford, CT
National Provider Identifier
1891196309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TRUSTEES OF TRINITY COLLEGE
- Practice address
- 300 Summit St
Ferris Athletic Center
Hartford, CT 06106-3100 - Phone
- (860) 297-2575
- NPI assigned
- Sep 16, 2014
- 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
- Michael D. Renwick
- Title
- Director of Athletics
- Phone
- (860) 297-2055
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
Addresses
Primary practice location
300 Summit St
Ferris Athletic Center
Hartford, CT 06106-3100
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Phone (800) 555-9073
Other names 1
- Trinity College Sports Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Trinity College Health Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- Hartford, CT
- NPI 1467897462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413417600000",
"number": "1891196309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 SPRING VALLEY RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443995",
"telephone_number": "800-555-9073",
"fax_number": "972-367-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SUMMIT ST",
"address_2": "FERRIS ATHLETIC CENTER",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063100",
"telephone_number": "860-297-2575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTEES OF TRINITY COLLEGE",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2014-10-16",
"status": "A",
"authorized_official_last_name": "RENWICK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DIRECTOR OF ATHLETICS",
"authorized_official_telephone_number": "860-297-2055"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity College Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.