Active NPI
Trimark Physicians Group
Doing business as UnityPoint Clinic - Foot and Ankle - Fort Dodge
- Durable Medical Equipment & Medical Supplies
- Fort Dodge, IA
National Provider Identifier
1790054971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRIMARK PHYSICIANS GROUP
- Doing business as
- UnityPoint Clinic - Foot and Ankle - Fort Dodge
- Practice address
- 804 Kenyon Rd
Ste 310
Fort Dodge, IA 50501-5746 - Phone
- (515) 574-6880
- Fax
- (515) 574-6753
- NPI assigned
- Dec 18, 2011
- Last updated
- Feb 3, 2016
- Organization subpart
- Yes
- Parent organization
- TRIMARK PHYSICIANS GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J. Dewerff
- Title
- President & Ceo
- Phone
- (515) 574-6603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
804 Kenyon Rd
Ste 310
Fort Dodge, IA 50501-5746
Mailing address
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 574-6890
Other names 1
- UnityPoint Clinic - Foot and Ankle - Fort Dodge
National Provider Directory
National Provider Directory- Part of
- Trimark Physicians Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454457600000",
"number": "1790054971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 KENYON RD",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015740",
"telephone_number": "515-574-6890",
"fax_number": "515-574-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 KENYON RD",
"address_2": "STE 310",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015746",
"telephone_number": "515-574-6880",
"fax_number": "515-574-6753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIMARK PHYSICIANS GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP",
"enumeration_date": "2011-12-18",
"last_updated": "2016-02-03",
"status": "A",
"authorized_official_last_name": "DEWERFF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"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": "UnityPoint Clinic - Foot and Ankle - Fort Dodge",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Dodge, IA
- Trimark Physicians Group (UnityPoint Clinic Laboratory)
- Trimark Physicians Group (Unitypoint Clinic-Pediatrics-Fort Dodge)
- Trimark Physicians Group (UnityPoint Clinic)
- Trimark Physicians Group (The Norma Schmoker Women's Center)
- Trimark Physicians Group (Unitypoint Clinic-Family Medicine-Second Avenue North)
- Trimark Physicians Group (UnityPoint Clinic Radiology)
- Trimark Physicians Group (Unitypoint Clinic-Family Medicine-Kenyon Road)
- Trimark Physicians Group Inc (Trimark Radiology)
- Trimark Physicians Group Inc (The Norma Schmoker Womens Center)
- Trimark Physicians Group Inc (Trimark Physicians Group Inc - ARNP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.