Tri-State Vein Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26573 Issued in IA

Legal business name

TRI-STATE VEIN CENTER

Practice address

505 Cedar Cross Rd
Suite a
Dubuque, IA 52003-7704

Phone

(563) 583-8346

Fax

(563) 557-3710

NPI assigned

Jan 19, 2011

Last updated

Feb 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Thomas Jenkins, M.D.NPI 1871573741

Title

Owner

Phone

(563) 583-8346

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Joseph Thomas Jenkins, MD

  • Surgery Physician
  • Dubuque, IA
  • NPI 1871573741
  Authorized official Same address or phone

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1679878805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CEDAR CROSS RD",
            "address_2": "SUITE A",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037704",
            "telephone_number": "563-583-8346",
            "fax_number": "563-557-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CEDAR CROSS RD",
            "address_2": "SUITE A",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037704",
            "telephone_number": "563-583-8346",
            "fax_number": "563-557-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-583-8346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "26573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069948",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32029700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Tonn, MS, CCC-SLP
• Townclock Mental Health PC
• Heidi Elizabeth Townsend, MD
• Tri-State Family Practice LLP
• Tri-State Surgery Center, L.L.C.
• Tri-States Clinic of Chiropractic, P.C.
• True Health Chiropractic and Acupuncture, P.C.
• Truly Balanced, L.L.C.
• Bryan Nicholas Trumm, M.D., D.P.T.
• Lauren E Trumm, ARNP

• Surgery Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.