Trimark Physicians Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRIMARK PHYSICIANS GROUP

Practice address

1525 W 5TH St
Storm Lake, IA 50588-3027

Phone

(712) 732-4030

NPI assigned

Apr 12, 2013

Organization subpart

Yes

Parent organization

TRIMARK PHYSICIANS GROUPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael J. Dewerff

Title

Cfo

Phone

(515) 574-6603

Specialties & licenses 1

Addresses

Other names 1

• UnityPoint Clinic - Foot and Ankle - Storm Lake Doing business as

Part of

Trimark Physicians Group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1053754663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-6603",
            "fax_number": "515-573-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883027",
            "telephone_number": "712-732-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "DEWERFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-574-6603"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Clinic - Foot and Ankle - Storm Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Storm Lake Medical, P.C.
• Megan Alta Sullivan, O.D.
• Tracy Ann Thomas, PH.D.
• TKC Optical
• TKC Optical, Inc
• Trinity Regional Medical Center
• Trinity Regional Medical Center
• Troy D Ivey DO PLC
• United Community Health Center Inc.
• Unitypoint at Home

• Durable Medical Equipment & Medical Supplies in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.