Surgical Specialists of Trinity, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL SPECIALISTS OF TRINITY, PA

Practice address

10751 Maple Creek Dr
Suite 103
Trinity, FL 34655-4418

Phone

(727) 372-0400

Fax

(727) 372-0403

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Keith Gregory Chisholm, MDNPI 1164520375

Title

Director

Phone

(727) 372-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Keith Gregory Chisholm, MD

  • Surgery Physician
  • Trinity, FL
  • NPI 1164520375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1982968541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 LITTLE RD",
            "address_2": "SUITE 311",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551864",
            "telephone_number": "727-372-0400",
            "fax_number": "727-372-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 MAPLE CREEK DR",
            "address_2": "SUITE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554418",
            "telephone_number": "727-372-0400",
            "fax_number": "727-372-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF TRINITY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-372-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mariella Suarez
• Thondikulam Ananthanarayanan Subramanian, MD
• Vishnu Hardasmal Sujanani, MA, CCC-SLP
• Sunshine Clinical Lab LLC
• Kristen Renee Suraci
• Brandon Tyler Szakacs, DO
• T. Subramanian MD PA
• Rebecca J Tae, PA
• Tesa Taju, PMHNP
• Tallahassee Orthopedic Clinic III PL

• Surgery Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.