Clifford James Trilk, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D-047394 Issued in IA

Practice address

700 W Grove St
Maquoketa, IA 52060-2163

Phone

(563) 652-2474

NPI assigned

Oct 6, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669569240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 KELLY HTS",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038601",
            "telephone_number": "563-588-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602163",
            "telephone_number": "563-652-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRILK",
        "first_name": "CLIFFORD",
        "middle_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-047394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "30071",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Tendall, MSW
• Susan Thiltgen, RN
• Kimberly A Thompson, DO
• Timber City Chiropractic Inc
• Farah Marie Towfic, PHARMD
• Megan Elizabeth Vance
• Matthew Lawrence Waack, D.C.
• Wayne L Wagoner, DPM
• Bradley B Waller, MD
• Roger R Waller, MD

• Certified Registered Nurse Anesthetist in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.