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

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: July 19, 2026.

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

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
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

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 19

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

Social Worker (Clinical)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Clinic/Center (Adolescent and Children Mental Health)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Nurse Practitioner (Family)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Counselor (Professional)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Clinic/Center (Mental Health (Including Community Mental Health Center))
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Nurse Practitioner
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Non-emergency Medical Transport (VAN)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Behavior Technician
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083368831, enumerated as an "organization" on February 10, 2022.

The provider is located at 10440 LITTLE PATUXENT PKWY STE 300 COLUMBIA, MD 21044 and the phone number is (855) 770-7771.

Internal Medicine with taxonomy code 207R00000X.