| Trinity Integrated Medicine | |
|
10320 W Mcdowell Rd Ste L Avondale AZ 85392-4863 | |
| (623) 873-0112 | |
| (623) 873-1370 |
| Full Name | Trinity Integrated Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 10320 W Mcdowell Rd Ste L, Avondale, Arizona |
| Authorized Official Name and Position | Rodd Aking (OWNER) |
| Authorized Official Contact | 6238730112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Integrated Medicine Po Box 12170 Glendale AZ 85318-2170 Ph: (623) 873-0112 | Trinity Integrated Medicine 10320 W Mcdowell Rd Ste L Avondale AZ 85392-4863 Ph: (623) 873-0112 |
| NPI Number | 1942212345 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 11/21/2025 |
| Certification Date | 11/21/2025 |
| Medicare PECOS PAC ID | 6305842949 |
|---|---|
| Medicare Enrollment ID | O20061004000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942212345 | NPI | - | NPPES |
| 641598 | Medicaid | AZ | |
| L-1286974-7 | Other | AZ | CORPORATION/LLC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| Provider Name | Rodd Aking |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912930124 PECOS PAC ID: 9739073230 Enrollment ID: I20061004000657 |
| Provider Name | Padma M Aking |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700975893 PECOS PAC ID: 2163449851 Enrollment ID: I20061213000109 |
| Provider Name | Elise C Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679090047 PECOS PAC ID: 3577827930 Enrollment ID: I20180510002087 |
| Provider Name | Lyle K Miyashiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235639196 PECOS PAC ID: 6901153584 Enrollment ID: I20180728000110 |
| Provider Name | Ashley Lynn Marie Eischen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124640594 PECOS PAC ID: 3870907009 Enrollment ID: I20210130000057 |
| Provider Name | Chelsea Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194594218 PECOS PAC ID: 6507399086 Enrollment ID: I20241023002522 |
| Provider Name | Abbey a Zillweger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407420847 PECOS PAC ID: 0547652323 Enrollment ID: I20241031001982 |
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