James S. Trimble, M.D. P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

JAMES S. TRIMBLE, M.D. P.A.

Doing business as

Dermatology and Laser Center

Practice address

2055 Professional Center Dr
Orange Park, FL 32073-4461

Phone

(904) 276-4500

Fax

(904) 276-4160

NPI assigned

May 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James S Trimble, MDNPI 1508092347

Title

President

Phone

(904) 276-4500

Specialties & licenses 2

Addresses

Other names 1

• Dermatology and Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Scott Trimble, MD

  • MOHS-Micrographic Surgery Physician
  • Jacksonville, FL
  • NPI 1508092347
  Medicare reassignment Care Compare group Authorized official
• Alison Lynn Boden, PA-C

  • Physician Assistant
  • Orange Park, FL
  • NPI 1053881995
  Medicare reassignment Care Compare group
• Laura Rose Hice, APRN

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1831484013
  Medicare reassignment Care Compare group
• Candice L Vanderschaaf

  • Nurse Practitioner
  • Orange Park, FL
  • NPI 1376939652
  Medicare reassignment Care Compare group
• Jon D Speed, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1720403173
  NPD (past)

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912434242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-276-4500",
            "fax_number": "904-276-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-276-4500",
            "fax_number": "904-276-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S. TRIMBLE, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-276-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dermatology and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacksonville Multispecialty Services, LLC (First Coast Orthopedics)
• Jacksonville Neurological Clinic, P.a.
• Jacksonville Outpatient Surgery Center, LLC
• Radim Jacob
• Jai Mataji LLC (We Care Mobility Medical Supplies)
• Bridgenett James-Barrie, DSW, MSW, LCSW
• Janet M Grim Ma LMFT
• Shaun Paul Janse Van Rensburg, D.C.
• Ligia Cristina Jaramillo, PT
• Kirstin Nicole Jarvis

• MOHS-Micrographic Surgery Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.