Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235303801 Individual Practitioner Male Practitioner

Dr. Dominick Peter Trivisonno , MD

General Practice • Baker, MT

Professional Overview & Biography Verified Profile Summary

Dr. Dominick Trivisonno, MD is a registered healthcare professional specializing in General Practice in Baker, MT. Practice services are available at 202 SOUTH 4TH STREET WEST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

202 South 4th Street West

Baker, MT 593131119

Telephone 4067782833
Fax 4067785131
Associated Practice Facility / Clinic
🏢 Fallon Medical Complex Inc Facility NPI 1316965346

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Baker, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Baker, MT (40 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 173465

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License MT 11857

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1093745572

Doctor of Osteopathic Medicine (D.O.)

Paul Wheeler , PA

Physician Assistant

NPI 1346272234

Physician Assistant

Carrie Haar , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1437532132

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1972761252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2012

Registered at 202 SOUTH 4TH STREET WEST, BAKER, MT 593131119 (Tel: 4067782833)

📍
Updated Business Mailing Address January 30, 2012

Registered at PO BOX 1119, BAKER, MT 593131119 (Tel: 4067782833)

👤
Provider Name / Credentials Updated January 30, 2012

Recorded as DOMINICK TRIVISONNO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2012

General Practice (License #173465 in NY)

🟢
Initial NPI Registration & Enumeration April 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235303801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2008
Last Update: January 30, 2012
Sole Proprietor: No

Mailing Address

Po Box 1119

Baker, MT 593131119

Phone: 4067782833

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.