NPIMap

Organization Active NPI

Trimark Physicians Group Inc

Doing business as Trimark Physicians Group

  • Durable Medical Equipment & Medical Supplies
  • Fort Dodge, IA
National Provider Identifier
1528045275
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRIMARK PHYSICIANS GROUP INC
Doing business as
Trimark Physicians Group
Practice address
804 Kenyon Rd
Fort Dodge, IA 50501-5742
Phone
(515) 573-4141
NPI assigned
Dec 23, 2005
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIMARK PHYSICIANS GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

804 Kenyon Rd
Fort Dodge, IA 50501-5742

Mailing address

24 N 9TH St
Suite a
Fort Dodge, IA 50501-3909
Phone (515) 574-6890

Other names 1

  • Trimark Physicians Group Doing business as

National Provider Directory

National Provider Directory
Part of
Sherry S Bulten MD

Locations

101 N Main St
Fonda, IA 50540
Phone (712) 228-4426

301 Highland Ave
Sac City, IA 50583
Phone (712) 662-7119

1340 Lake St
Spirit Lake, IA 51360
Phone (515) 574-6880

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1528045275",
    "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": "505013909",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-573-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP INC",
        "enumeration_date": "2005-12-23",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trimark Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • 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.