NPIMap

Organization Active NPI

Thomas C Trevorrow

  • Ophthalmology Physician
  • Indiana, PA
National Provider Identifier
1972740652
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD049389L Issued in PA
Legal business name
THOMAS C TREVORROW
Practice address
119 Professional Ctr
1265 Wayne Avenue, Ste. 203
Indiana, PA 15701-3586
Phone
(724) 463-0286
Fax
(724) 463-3542
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Dr. Thomas C Trevorrow, M.D.NPI 1427040567
Title
Owner
Phone
(724) 463-0286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD049389L PA Primary

Addresses

Primary practice location

119 Professional Ctr
1265 Wayne Avenue, Ste. 203
Indiana, PA 15701-3586

Mailing address

119 Professional Ctr
1265 Wayne Avenue, Ste. 203
Indiana, PA 15701-3586
Phone (724) 463-0286

Other identifiers 4

IdentifierTypeStateIssuer
1007456850004MedicaidPA
735637OtherPRBLUE SHIELD PROVIDER
735637-L3DOtherPABLUESHIELD PROVIDER
111710OtherPAHIGHMARK GROUP

National Provider Directory

National Provider Directory
Tax ID family
Thomas C Trevorrow2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1265 Wayne Ave
Ste 203
Indiana, PA 15701
Phone (724) 463-0286

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1972740652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL CTR",
            "address_2": "1265 WAYNE AVENUE, STE. 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013586",
            "telephone_number": "724-463-0286",
            "fax_number": "724-463-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL CTR",
            "address_2": "1265 WAYNE AVENUE, STE. 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013586",
            "telephone_number": "724-463-0286",
            "fax_number": "724-463-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C TREVORROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "TREVORROW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-463-0286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD049389L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007456850004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "735637",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD PROVIDER",
            "identifier": "735637-L3D",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "111710",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.