Michael Robert Trimble, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

33104 Issued in AZ

Practice address

1514 Goldrush Rd
Bullhead City, AZ 86442-8375

Phone

(928) 704-6070

Fax

(928) 704-6072

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael R. Trimble M.D., F.a.C.S

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1497797948
  NPD (past) Authorized official
• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878

  Family Medicine

  NPD (past)
• Bullhead City Clinic Corp

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1558428581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 GOLDRUSH RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428375",
            "telephone_number": "928-704-6070",
            "fax_number": "928-704-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 GOLDRUSH RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428375",
            "telephone_number": "928-704-6070",
            "fax_number": "928-704-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "33104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4543437",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHYSICIANS IPA",
            "identifier": "874679002",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE AZ",
            "identifier": "874679",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1414832",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF AZ",
            "identifier": "2Z5220",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0762251",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Physical Therapy Services Inc
• Tri-State Radiation Oncology, Inc.
• Tri-State Respiratory Inc
• Tri-State Sinus Center
• Tri-States Dental, Inc.
• Tristate Surgical Associates PLLC
• Truechoice Pharmacy, LLC
• Truechoice Pharmacy, LLC
• Truechoice Pharmacy,LLC
• Mary H Tulinnye, APRN, PMHNP

• Surgery Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.