YVONA M. TRNKA MD
Complete NPI Record 1427143957
Internal Medicine - Gastroenterology in Boston, MA
NPI Status: Active since October 03, 2006
Contact Information
133 BROOKLINE AVENUE
BOSTON, MA
ZIP 02215
Phone: (617) 421-1380
Fax: (617) 421-1303
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Middle Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Second Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Other Provider Identifier 1
- Other Provider Identifier Type Code 1
- Other Provider Identifier State 1
- Other Provider Identifier Issuer 1
- Other Provider Identifier 2
- Other Provider Identifier Type Code 2
- Other Provider Identifier State 2
- Other Provider Identifier Issuer 2
- Other Provider Identifier 3
- Other Provider Identifier Type Code 3
- Other Provider Identifier State 3
- Other Provider Identifier Issuer 3
- Other Provider Identifier 4
- Other Provider Identifier Type Code 4
- Other Provider Identifier State 4
- Other Provider Identifier Issuer 4
- Other Provider Identifier 5
- Other Provider Identifier Type Code 5
- Other Provider Identifier State 5
- Other Provider Identifier Issuer 5
- Other Provider Identifier 6
- Other Provider Identifier Type Code 6
- Other Provider Identifier State 6
- Other Provider Identifier 7
- Other Provider Identifier Type Code 7
- Other Provider Identifier State 7
- Other Provider Identifier Issuer 7
- Is Sole Proprietor
Complete NPI Dataset
This page represents the complete record for NPI 1427143957. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1427143957
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: TRNKA
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: YVONA
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: M.
- The middle name of the provider, if the provider is an individual.
- Provider Credential Text: MD
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 147 MILK STREET
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Second Line Business Mailing Address: PROVIDER ENROLLMENT 9TH FLOOR
- The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
- Provider Business Mailing Address City Name: BOSTON
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: MA
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Postal Code: 021094806
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Country Code If outside U S : US
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Business Mailing Address Telephone Number: 6174212508
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Line Business Practice Location Address: 133 BROOKLINE AVENUE
- The first name of the provider, if the provider is an individual.
- Provider Business Practice Location Address City Name: BOSTON
- The middle name of the provider, if the provider is an individual.
- Provider Business Practice Location Address State Name: MA
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Business Practice Location Address Postal Code: 022152523
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Business Practice Location Address Country Code If outside U S : US
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Practice Location Address Telephone Number: 6174211380
- The city name in the mailing address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 6174211303
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Enumeration Date: 10/3/2006
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 6/3/2011
- The date that a record was last updated or changed.
- Provider Gender Code: F
- The code designating the provider’s gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 207RG0100X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 40734
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider License Number State Code 1: MA
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- Other Provider Identifier 1: 3227393-002
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 1: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 1: MA
- Other Provider Identifier Issuer 1: CIGNA
- Other Provider Identifier 2: P00074246
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 2: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 2: MA
- Other Provider Identifier Issuer 2: MEDICARE RAILROAD
- Other Provider Identifier 3: M167
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 3: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 3: MA
- Other Provider Identifier Issuer 3: HARVARD PILGRIM
- Other Provider Identifier 4: 0003082
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 4: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 4: MA
- Other Provider Identifier Issuer 4: NEIGHBORHOOD HEALTH PLAN
- Other Provider Identifier 5: 729764
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 5: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 5: MA
- Other Provider Identifier Issuer 5: TUFTS HEALTH PLAN
- Other Provider Identifier 6: 3179605
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 6: 05
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 6: MA
- Other Provider Identifier 7: E05238
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 7: 01
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 7: MA
- Other Provider Identifier Issuer 7: BLUE CROSS
- Is Sole Proprietor: N
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No