Trimark Physicians Group

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

TRIMARK PHYSICIANS GROUP

Practice address

625 L St
Fort Dodge, IA 50501-5706

Phone

(515) 574-6015

Fax

(515) 574-6016

NPI assigned

Dec 29, 2011

Organization subpart

Yes

Parent organization

TRIMARK PHYSICIANS GROUPAs reported in NPPES

Name

Michael J. Dewerff

Title

Cfo

Phone

(515) 574-6603

Organizations that report the same tax identification number in the National Provider Directory.

• TPG Health

  • Mammography Clinic/Center
  • Fort Dodge, IA
  • NPI 1912277898
  NPD tax ID
• Unitypoint Clinic Urgent Care

  • Urgent Care Clinic/Center
  • Fort Dodge, IA
  • NPI 1174073597
  NPD tax ID

• The Norma Schmoker Women's Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2012.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1265701783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013905",
            "telephone_number": "515-574-6890",
            "fax_number": "515-574-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 L ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015706",
            "telephone_number": "515-574-6015",
            "fax_number": "515-574-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP",
        "enumeration_date": "2011-12-29",
        "last_updated": "2012-03-22",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Norma Schmoker Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Transworld5
• Candace Trenary
• Trimark Physicians Group
• Trimark Physicians Group
• Trimark Physicians Group
• Trimark Physicians Group
• Trimark Physicians Group
• Trimark Physicians Group
• Trimark Physicians Group
• Trimark Physicians Group Inc

• All providers in Fort Dodge, IA
• Radiology Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.