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TRIDENT MEDICAL GROUP PA
NPI 1295407922
Podiatrist - Public Medicine in Miami, FL

Active since September 30, 2021
382 NE 191ST ST, PMB 75481, MIAMI, FL 33179(855) 770-7771 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2022, Nov 3, 2022, Sep 21, 2022 and 2 more (5 updates tracked since 2021).

About Trident Medical Group Pa NPPES

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

TRIDENT MEDICAL GROUP PA (NPI 1295407922) is a healthcare organization registered as a public medicine in Miami, Florida and active in the NPI registry since September 2021. The organization lists Devion Smith, Director, Payer Contracting, as its authorized official.

NPPES Registry Identity

NPI1295407922
Entity TypeOrganization
Primary Taxonomy213EP0504X
Legal Business NameTRIDENT MEDICAL GROUP PA
Location Address382 NE 191ST ST, PMB 75481Miami, FL 33179-3899
Mailing Address1256 Folsom StSan Francisco, CA 94103-3817 · (310) 626-0149 · Fax (855) 836-2741
Phone(855) 770-7771
Organization SubpartNo
Authorized OfficialDevion SmithDirector, Payer Contracting · (424) 326-8711
Enumeration DateSeptember 30, 2021
Last NPPES UpdateNovember 14, 20225 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1295407922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPodiatrist · Public MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP0504X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
382 NE 191ST ST, Miami, FL 33179
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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.

TRIBEHEALTH, INC.
Internal Medicine
382 NE 191ST ST
MIAMI, FL 33179
Miami-Dade County (973) 714-1889
GREGORY PENN LCSW
Social Worker (Clinical)
382 NE 191ST ST, PMB 484554
MIAMI, FL 33179
Miami-Dade County (954) 451-2994
SUSANNE PEREZ APRN, LLC
Family Medicine
382 NE 191ST ST
MIAMI, FL 33179
Miami-Dade County (786) 972-8822
ANGELA AHMADI
Massage Therapist
382 NE 191ST ST
MIAMI, FL 33179
Miami-Dade County (917) 951-4683
LILLIANA VAZQUEZ-RIVERA MD LLC
Internal Medicine (Infectious Disease)
382 NE 191ST ST, #74432
MIAMI, FL 33179
Miami-Dade County (305) 560-0698
DAVID CLAY LAVERY RCS,RVS
Technician/Technologist
382 NE 191ST ST
MIAMI, FL 33179
Miami-Dade County (352) 514-6432
C PLUS SOLUTIONS LLC
Durable Medical Equipment & Medical Supplies
382 NE 191ST ST
MIAMI, FL 33179
Miami-Dade County (734) 773-1485
RIVA HEALTH PROVIDER GROUP PA
Internal Medicine (Cardiovascular Disease)
382 NE 191ST ST
MIAMI, FL 33179
Miami-Dade County (720) 500-3889

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 Trident Medical Group PA's NPI number?

The NPI number for Trident Medical Group PA is 1295407922. It was assigned to this organization in the NPPES registry on September 30, 2021.

Where is Trident Medical Group PA located?

Trident Medical Group PA is located at 382 NE 191st St Pmb 75481, Miami, FL 33179. The listed phone number is (855) 770-7771.

What is Trident Medical Group PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Public Medicine, with taxonomy code 213EP0504X.

When was this NPI record last updated?

The NPPES record for Trident Medical Group PA was last updated on November 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.