DOMINICK PETER TRIVISONNO MD
NPI 1235303801
General Practice in Baker, MT

Active since April 15, 2008
202 SOUTH 4TH STREET WEST, BAKER, MT 59313(406) 778-2833(406) 778-5131 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominick Peter Trivisonno Md NPPES

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

DOMINICK PETER TRIVISONNO MD (NPI 1235303801) is an individual general practice provider in Baker, Montana, licensed in New York (173465) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1235303801
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDOMINICK PETER TRIVISONNOCredential: MD
Location Address202 SOUTH 4TH STREET WESTBaker, MT 59313-1119
Mailing AddressPo Box 1119Baker, MT 59313-1119 · (406) 778-2833 · Fax (406) 778-5131
Fax(406) 778-5131
Sole ProprietorNo
Enumeration DateApril 15, 2008
Last NPPES UpdateJanuary 30, 2012
NPI 1235303801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in NY · 173465 Licensed in MT · 11857
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
202 SOUTH 4TH STREET WEST, Baker, MT 59313

Other Providers at the Same Location NPPES 11

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

Home Health
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Radiology)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Skilled Nursing Facility
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
General Practice
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Occupational Medicine)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Medicare Defined Swing Bed Unit
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
General Acute Care Hospital (Critical Access)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Critical Access Hospital)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominick Trivisonno's NPI number?

The NPI number for Dominick Trivisonno is 1235303801. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Dominick Trivisonno located?

Dominick Trivisonno practices at 202 South 4th Street West, Baker, MT 59313. The listed phone number is (406) 778-2833.

What is Dominick Trivisonno's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Dominick Trivisonno was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.