Trail Medical, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00026145 Issued in WA

Legal business name

TRAIL MEDICAL, INC

Doing business as

JEFFERY A TRAIL MD

Practice address

42 E Rowan Ave
Suite a
Spokane, WA 99207-1212

Phone

(509) 483-3155

Fax

(509) 483-3270

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Jeffery A Trail, MDNPI 1578542486

Title

Owner

Phone

(509) 483-3155

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JEFFERY A TRAIL MD Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Jeffery Allen Trail, MD

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1578542486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1952584419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E ROWAN AVE, STE A",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071212",
            "telephone_number": "509-483-3155",
            "fax_number": "509-483-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E ROWAN AVE",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071212",
            "telephone_number": "509-483-3155",
            "fax_number": "509-483-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-483-3155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00026145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA  LABOR AND INDUSTRIES",
            "identifier": "0033424",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110717",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERY A TRAIL MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desirae Tracy, LMT
• Lynnae Nycole Tracy
• Veronica Rose Tracy
• Von R Tracy, DDS
• Rayna Traen, DO
• Jeffery Allen Trail, MD
• Trailhead Dental
• Hillary Charlotte Trainor
• Hope Tran
• Lily Isa Tran, AAS, RN

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.