TOTAL TRAUMA CARE, PLLC (NPI# 1750706347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750706347 |
| Entity Type | Organization |
| Organization Name | TOTAL TRAUMA CARE, PLLC |
| Other Organization Name | ADVENT HEALTHCARE |
| Practice Address |
5100 Franklin Ave Ste C Waco TX 76710-6922 |
| Mailing Address |
Po Box 22237 Belfast ME 04915-4473 |
| Practice Telephone | 8886246882 |
| Practice Fax Number | 8888824498 |
| Mailing Telephone | 8886246882 |
| Mailing Fax Number | 8888824498 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | BECKY TREVATHAN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2543404046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 338817501 | 05 |
| Other Name | Type Code |
|---|---|
| Advent Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10857 Kuykendahl Rd Ste 120, The Woodlands, TX 773822936 | 9362563883 | 9362566095 |
| 3500 Hillcrest Dr Ste 1, Waco, TX 767083144 | 8886246882 | 8888824498 |
| 500 Medical Center Blvd Ste 220, Conroe, TX 773042800 | 9362563883 | 9363986095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790235083 | Total Trauma Care, Pllc | Orthopaedic Surgery | 9200 Pinecroft Dr Ste 280, Shenandoah, TX 77380-3281 | 2016-10-11 |
| Street Address |
5100 FRANKLIN AVE STE C |
| City | WACO |
| State | TX |
| Zip Code | 76710-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235417817 | Jeffrey S Blasick | Orthopaedic Surgery | 5100 Franklin Ave Ste C, Waco, TX 76710 | 2011-07-29 |
| 1477168706 | Hayden Joe Grimm | Physical Therapy Assistant | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2020-09-14 |
| 1538770664 | Kyndall M Brownsworth | Physical Therapist | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2020-08-12 |
| 1528606357 | Esmpt, LLC | Clinic/Center | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2019-12-11 |
| 1376185553 | Denise M Wise | Physical Therapist | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2019-10-09 |
| 1639660533 | Kelsy Dieterich | Specialist/Technologist, Other | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2018-05-25 |
| 1770969800 | Kristin L Hill | Nurse Practitioner | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312632 | Brent J Bauer | Orthopaedic Surgery | 7125 Sanger Rd Ste 516, Waco, TX 76712-4054 | 2007-06-09 |
| 1962847376 | Jacob Travis Davis | Orthopaedic Surgery | 2201 Macarthur Dr Ste 2205, Waco, TX 76708-3159 | 2013-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992952857 | Richard Brian Barber | Orthopaedic Surgery | 21 Spurs Ln Ste 300, San Antonio, TX 78240-1679 | 2008-08-22 |
| 1114192473 | Joseph M Hahn | Orthopaedic Surgery | 7121 S Padre Island Dr Ste 106, Corpus Christi, TX 78412 | 2008-04-28 |
| 1386835585 | Justin Fowler | Orthopaedic Surgery | 2606 Hospital Blvd Ste E, Corpus Christi, TX 78405 | 2007-08-05 |
| 1568665164 | Ashoke Kasyap Sathy | Orthopaedic Surgery | 4900 Harry Hines Blvd Fl 2, Dept of Orthopaedic Surgery, Dallas, TX 75235-7719 | 2007-06-09 |
| 1689694390 | Charisse Y Sparks | Orthopaedic Surgery | 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | 2006-07-19 |
| 1588655799 | Michael Thomas Charlton | Orthopaedic Surgery | 10010 Rogers Xing Ste 308, San Antonio, TX 78251-4776 | 2005-11-04 |
| 1932199759 | Robert O Crous IIi | Orthopaedic Surgery | 5519 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-24 |
| 1205241965 | Raymond Bradley Kessler | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-20 |
| 1851633994 | Ashley Elizabeth Levack | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2013-03-26 |
| 1659618221 | Mansour Navid Ortho Pa | Orthopaedic Surgery | 800 Peakwood Dr, Suite 3a, Houston, TX 77090-2900 | 2013-01-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TOTAL TRAUMA CARE, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.