Trimark Physicians Group

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TRIMARK PHYSICIANS GROUP

Doing business as

UnityPoint Clinic

Practice address

208 Main St
Lake View, IA 51450-7717

Phone

(712) 657-8513

Fax

(712) 657-2939

NPI assigned

Dec 18, 2011

Last updated

May 13, 2013By the provider in NPPES

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 Doing business as

Part of

Unitypoint Clinic Urgent Care

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1437428612",
    "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": "515-574-6890",
            "fax_number": "515-574-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507717",
            "telephone_number": "712-657-8513",
            "fax_number": "712-657-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP",
        "enumeration_date": "2011-12-18",
        "last_updated": "2013-05-13",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alecia Ann Smith, LISW
• Stewart Memorial Community Hospital (Stewart Memorial Clinic Lake View)
• Jenna Sturm
• Theodore R. Liautaud (Lakes Counseling & Psychiatry)
• Bryan Thompson
• Trimark Physicians Group Inc (Trimark Physicians Group)
• Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Lake View)
• Elsie Verbik, MD
• Wall Lake View Auburn C.S.D.

• Rural Health Clinic/Center in Lake View, IA
• Providers in Lake View, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.