Active NPI
Trinity Medical Center
- Family Medicine Physician
- Davenport, IA
National Provider Identifier
1245209253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRINITY MEDICAL CENTER
- Practice address
- 3540 E 46TH St
Davenport, IA 52807-3403 - Phone
- (563) 742-5900
- Fax
- (563) 742-5980
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Rowe, MBA
- Title
- Operations Manager
- Phone
- (563) 742-5900
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
3540 E 46TH St
Davenport, IA 52807-3403
Mailing address
3540 E 46TH St
Davenport, IA 52807-3403
Phone (563) 742-5900
Other names 1
- Trinity Work Fitness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000414 | IA | Part B Supplier - Clinic/Group Practice | 2264337518 |
Receives reassigned benefits from 159 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bettendorf, IA; Pleasant Valley, IA; Muscatine, IA; Davenport, IA; Coralville, IA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1245209253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 E 46TH ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073403",
"telephone_number": "563-742-5900",
"fax_number": "563-742-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 E 46TH ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073403",
"telephone_number": "563-742-5900",
"fax_number": "563-742-5980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ROWE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "563-742-5900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Work Fitness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.