Active NPI
John R Trible, MD
- Ophthalmology Physician
- Marshalltown, IA
National Provider Identifier
1104818939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 32730
- Practice address
- 309 E Church St
Marshalltown, IA 50158-2946 - Phone
- (641) 754-6200
- Fax
- (515) 223-5468
- NPI assigned
- Aug 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 32730 | IA | |
| Ophthalmology Physician | 207W00000X | 32730 | IA | Primary |
Addresses
Primary practice location
309 E Church St
Marshalltown, IA 50158-2946
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180034728 | Other | IA | RAILROAD MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32730 | IA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolfe Clinic Eye Centers LC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Grundy Center, IA
- NPI 1952084717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1104818939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "641-752-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "515-223-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBLE",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "IA",
"license": "32730",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "32730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180034728",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.