TRIDENT MEDICAL GROUP PA
NPI 1083368831
Internal Medicine in Columbia, MD

Q: What is Trident Medical Group PA's NPI number?

The NPI number for Trident Medical Group PA is 1083368831. It was assigned to this organization in the NPPES registry on February 10, 2022.

Q: What is Trident Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 10, 2022

10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044(855) 770-7771(415) 808-6405 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Nov 3, 2022, Sep 21, 2022 and 1 more (4 updates tracked since 2022).

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About Trident Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIDENT MEDICAL GROUP PA (NPI 1083368831) is a healthcare organization registered as an internal medicine in Columbia, Maryland and active in the NPI registry since February 2022. The organization lists Devion Smith, Director, Payer Contracting, as its authorized official.

NPPES Registry Identity

NPI1083368831

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTRIDENT MEDICAL GROUP PA

Location Address10440 LITTLE PATUXENT PKWY STE 300Columbia, MD 21044-3648

Mailing Address382 Ne 191st StMiami, FL 33179-3899 · (310) 626-0149 · Fax (415) 808-6405

Phone(855) 770-7771

Fax(415) 808-6405

Organization SubpartNo

Authorized OfficialDevion SmithDirector, Payer Contracting · (424) 326-8711

Enumeration DateFebruary 10, 2022

Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1083368831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X

10440 LITTLE PATUXENT PKWY STE 300, Columbia, MD 21044

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KATKHOUDA FNP-C

Nurse Practitioner (Family)