NPIMap

Organization Active NPI

Michael R. Trimble M.D., F.a.C.S

  • Surgery Physician
  • Bullhead City, AZ
National Provider Identifier
1497797948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33104 Issued in AZ
Legal business name
MICHAEL R. TRIMBLE M.D., F.A.C.S
Practice address
1514 Goldrush Rd
Ste. a-18
Bullhead City, AZ 86442-8375
Phone
(928) 704-6070
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Robert Trimble, M.D.NPI 1558428581
Title
General Surgeon
Phone
(928) 704-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 33104 AZ Primary

Addresses

Primary practice location

1514 Goldrush Rd
Ste. a-18
Bullhead City, AZ 86442-8375

Mailing address

1514 Goldrush Rd
Ste. a-18
Bullhead City, AZ 86442-8375
Phone (928) 704-6070

Other identifiers 2

IdentifierTypeStateIssuer
AZ99999OtherAZMUTUAL OF OMAHA PROVIDER
83012OtherAZMEDICARE PIN NUMBER

Other names 1

  • Michael R. Trimble M.D., F.A.C.S. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497797948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 GOLDRUSH RD",
            "address_2": "STE. A-18",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428375",
            "telephone_number": "928-704-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 GOLDRUSH RD",
            "address_2": "STE. A-18",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428375",
            "telephone_number": "928-704-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. TRIMBLE M.D., F.A.C.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "928-704-6070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "33104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA PROVIDER",
            "identifier": "AZ99999",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN NUMBER",
            "identifier": "83012",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael R. Trimble M.D., F.A.C.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.