Active NPI
Steven Craig Trimble, PA-C
- Surgical Physician Assistant
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 242
- Practice address
- 111 Sunnyview LN
Kalispell, MT 59901-3164 - Phone
- (406) 752-7900
- Fax
- (406) 257-0253
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 242 | MT | Primary |
Addresses
Primary practice location
111 Sunnyview LN
Kalispell, MT 59901-3164
Mailing address
111 Sunnyview LN
Kalispell, MT 59901-3164
Phone (406) 752-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000093153 | Other | MT | BLUE CROSS |
| 0436384 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | MT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251
350 Heritage Way
Ste 1200
Kalispell, MT 59901
Phone (406) 756-4112
111 Sunnyview Ln
Ste A
Kalispell, MT 59901
Phone (406) 752-7900
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
202 Conway Dr
Ste 100
Kalispell, MT 59901
Phone (406) 751-5666
111 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 257-6700
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Health Medical Center
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1053422626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013164",
"telephone_number": "406-752-7900",
"fax_number": "406-257-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013164",
"telephone_number": "406-752-7900",
"fax_number": "406-257-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "STEVEN",
"middle_name": "CRAIG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-11-27",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MT",
"license": "242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000093153",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0436384",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "111 Sunnyview Ln",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.