Mr. Jose G Trevino Sr.
Surgery

Address: 1200 W South St, Plano, IL 60545
Phone: 6305527601

Mr. Jose G Trevino Sr. (NPI# 1609941319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609941319
Entity Type Individual
Full Name Mr. Jose G Trevino Sr.
Credential MD
Gender Male
Practice Address 1200 W South St
Plano
IL 60545
Practice Telephone 6305527601
Practice Fax Number 6305529215
Mailing Address 1200 W South St
Plano
IL 60545
Mailing Telephone 6305527601
Mailing Fax Number 6305529215
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-21
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208600000X Surgery Allopathic & Osteopathic Physicians 36061677 IL

Other Provider Identifier

State Identifier Issuer Type Code
IL 4722870 OTHER BCBS

Other Providers JOSE TREVINO

NPI Name Taxonomy Address Enumeration
1366640682 Jose Guadalupe Trevino II Speech-Language Pathologist 512 Santa Anna St, Weslaco, TX 78596-4318 2007-07-09
1518402031 Jose Trevino Nurse Anesthetist, Certified Registered 1261 S Tamiami Trl, Sarasota, FL 34239-2219 2016-12-20
1720407208 Jose Luis Trevino Specialist 1422 Harrison St, Oakland, CA 94612-3903 2014-04-10
1821323429 Jose Alfredo Trevino Counselor 2481 Harrison St, San Francisco, CA 94110-2710 2009-10-15
1235328113 Jose Guillermo Trevino Specialist 3141 Irving Blvd, Suite 220, Dallas, TX 75247-6232 2007-10-17
1518007624 Jose Gilberto Trevino Jr. Surgery 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2007-02-07
1336177591 Jose A Trevino Obstetrics & Gynecology 3066 E Commerce St, San Antonio, San Antonio, TX 78220-1013 2006-06-28

Physician Overview

NPI 1609941319
PAC ID by PECOS 6901867654
Professional Enrollment ID I20080211000334
Full Name Jose G Trevino
Gender M
Graduation Year 1976
Primary Specialty GENERAL SURGERY
Secondary Specialties FAMILY PRACTICE, GENERAL PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140174 PRESENCE MERCY MEDICAL CENTER
141340 VALLEY WEST COMMUNITY HOSPITAL
140029 COPLEY MEMORIAL HOSPITAL

Office Location

Street Address 1200 W SOUTH ST
City PLANO
State IL
Zip Code 60545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629392196 Mak Anesthesia Services S.c. Specialist 1200 W South St, Plano, IL 60545-1790 2010-03-26
1013191097 Valley West Medical Center, S.c. Surgery 1200 W South St, Plano, IL 60545-1790 2007-12-26
1780870410 Alam S. Md, LLC Clinic/Center 1200 W South St, Plano, IL 60545-1790 2007-09-17
1639362544 Huma Alam Family Medicine 1200 W South St, Plano, IL 60545-1790 2007-08-23
1013064138 Saroor Alam Internal Medicine 1200 W South St, Plano, IL 60545-1790 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598270035 Thomas John Wade Speech-Language Pathologist 430 Mitchell Drive, Plano, IL 60545 2017-12-06
1902310857 Jodi Sell Speech-Language Pathologist Pasec, 800 S Hale St, Plano, IL 60545 2017-11-29
1023161940 William Yaw-ntaaku Asihene Surgery 12700 Us Highway 34, Plano, IL 60545 2007-01-22
1134205586 John A Gordon Jr. Dentist 901 West Route 34, Suite 103, Plano, IL 60545 2006-10-28
1104853902 Snehal K Kulkarni Audiologist 11000 E. Rt 34, Ste 3, Plano, IL 60545 2006-06-27
1376640730 Riverglen Ear, Nose & Throat and Audiology, LLC Otolaryngology 11000 E. Rt 34, Ste 3, Plano, IL 60545 2006-09-20
1508920828 Thomas W. Barney Chiropractor 200 S. Hale St., Ste. 2, Plano, IL 60545-0188 2006-12-21
1861524233 Nancy Lynn Reiland Occupational Therapist 2009 Bittersweet Dr, Plano, IL 60545-1066 2007-03-12
1407031065 Reiland Therapy Services, P.C. Occupational Therapist 2009 Bittersweet Dr, Plano, IL 60545-1066 2008-01-02
1477996924 Melissa Bedford Speech-Language Pathologist 216 E Abe St, Plano, IL 60545-1311 2013-04-15
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386100824 Advanced Surgical Services of Texas Surgery 3108 Midway Rd Ste 204, Plano, TX 75093-1615 2019-02-20
1487178745 Integris Surgical Group and Medical Management Surgery 3313 Westclarke Dr, Plano, TX 75093-7974 2017-07-28
1780134122 Teaxas Medical Results, LLC Surgery 1708 Coit Rd Ste 150, Plano, TX 75075-6198 2016-10-10
1528443355 Village Surgical Group Pa Surgery 8080 Independence Pkwy Ste 115, Plano, TX 75025-4005 2015-07-22
1275918054 Advanced Surgical Consultants Surgery 3628 Curbstone Way, Plano, TX 75074-8931 2015-07-22
1093046773 Erika Cristina Van Doorn Surgery 4001 W 15th St Ste 200, Plano, TX 75093-5855 2010-01-20
1245485663 Julie C Kilgore Surgery 5500 Democracy Dr Ste 150, Plano, TX 75024-4202 2008-11-26
1659556751 David W. Hampe, Md, Pa Surgery 5920 W Parker Rd Ste 100, Plano, TX 75093-6413 2008-01-08
1639374861 Angela Anne Guzzetta Surgery 4090 Mapleshade, Suite #100, Plano, TX 75093-0022 2007-06-18
1033327416 Ramsey A Stone Surgery 6124 W. Parker Rd., Suite 436, Plano, TX 75093-8125 2007-05-18
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Competitor

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City PLANO
Zip Code 60545

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Dataset Information

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.

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