Active NPI
Marianne T Trubelhorn, MD
- Pediatrics Physician
- Brandon, FL
National Provider Identifier
1942216635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME48330
- Practice address
- 811 S Parsons Avenue
Brandon, FL 33511 - Phone
- (813) 685-4553
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME48330 | FL | Primary |
Addresses
Primary practice location
811 S Parsons Avenue
Brandon, FL 33511
Mailing address
PO Box 25437
Tampa, FL 33642
Phone (813) 854-2003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043187700 | Medicaid | FL |
Other names 1
- Marianne Treuter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME48330 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Alliance, PA | Pediatrics | Past | Accepting new patients |
| Pediatric Health Care Alliance, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1942216635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25437",
"city": "TAMPA",
"state": "FL",
"postal_code": "33642",
"telephone_number": "813-854-2003",
"fax_number": "813-855-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S PARSONS AVENUE",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-685-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUBELHORN",
"first_name": "MARIANNE",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME48330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043187700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "TREUTER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.