Trimark Physicians Group Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TRIMARK PHYSICIANS GROUP INC

Practice address

101 N Main
Fonda, IA 50540-7729

Phone

(712) 288-4426

NPI assigned

Dec 22, 2005

Organization subpart

Yes

Parent organization

TRIMARK PHYSICIANS GROUP INCAs 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

• Trimark Physicians Group Doing business as

Part of

Park Physicians PPMC

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1528044344",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN",
            "city": "FONDA",
            "state": "IA",
            "postal_code": "505407729",
            "telephone_number": "712-288-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP INC",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-12-22",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trimark Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Initiatives
• Fonda City of
• Iowa Physicians Clinic Medical Foundation
• Renee Maneman
• Trimark Physicians Group
• Trinity Regional Medical Center

• All providers in Fonda, IA
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.