TRINITY REGIONAL MEDICAL CENTER (NPI# 1073594156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073594156 |
| Entity Type | Organization |
| Organization Name | TRINITY REGIONAL MEDICAL CENTER |
| Other Organization Name | UNITYPOINT CLINIC |
| Practice Address |
802 Kenyon Rd Fort Dodge IA 50501-5740 |
| Practice Telephone | 5155733101 |
| Practice Fax Number | 5155738710 |
| Mailing Telephone | 5155733101 |
| Mailing Fax Number | 5155738710 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | MICHAEL J DEWERFF (CEO) |
| Authorized Official Telephone | 5155746603 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0269597 | 05 |
| Other Name | Type Code |
|---|---|
| UnityPoint Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1275051914 | Trinity Regional Medical Center | Clinic/Center | 620 Northwestern Dr Ste 1, Storm Lake, IA 50588-2935 | 2017-09-01 |
| 1891898300 | Trinity Regional Medical Center | Clinic/Center | 821 S 25th St, Fort Dodge, IA 50501-5445 | 2006-09-07 |
| 1225546013 | Trinity Regional Medical Center | Nutritionist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-16 |
| 1407374143 | Trinity Regional Medical Center | Clinic/Center | 307 Highway 10, Laurens, IA 50554-1307 | 2017-09-01 |
| 1609394345 | Trinity Regional Medical Center | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2017-09-01 |
| 1053839795 | Trinity Regional Medical Center | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2017-09-01 |
| 1104344845 | Trinity Regional Medical Center | Clinic/Center | 101 N Main St, Fonda, IA 50540-7729 | 2017-09-01 |
| 1861910507 | Trinity Regional Medical Center | Clinic/Center | 301 Highland Ave, Sac City, IA 50583-2411 | 2017-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TRINITY REGIONAL MEDICAL CENTER | 802 Kenyon Road, Fort Dodge, IA 50501 |
| Street Address |
802 KENYON RD |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401786 | Tammy Jo Peyton | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-07-14 |
| 1467076612 | Adrianne K Peters | Pharmacist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2020-06-03 |
| 1881248490 | Andrew Doster | Nurse Anesthetist, Certified Registered | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-07-31 |
| 1417517178 | Jesseka Kaldenberg | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-06-15 |
| 1851852826 | Nicole Richelle Lee | Family Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2019-03-30 |
| 1073091161 | Connie Sue Fox | Registered Nurse | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-08-01 |
| 1376038067 | Allyson Croo | Nurse Practitioner | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-06-26 |
| 1124512744 | Philip Curtis Burton | Podiatrist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-06-18 |
| 1508374927 | Kari Lynn Tessum | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-19 |
| 1225546013 | Trinity Regional Medical Center | Nutritionist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174962021 | Chad T Rennie | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2013-06-24 |
| 1629357330 | Chris Carzoli | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2011-08-11 |
| 1023008034 | Gaylene Faye Lynch | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-10-21 |
| 1750370490 | Daniel Joseph Cole | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151003 | Linn County Emergency Medicine PC | Emergency Medicine | 1195 Boyson Rd Ste 101, Hiawatha, IA 52233-2218 | 2020-07-08 |
| 1245795087 | Gabriel Alejandro Hernandez Roman | Emergency Medicine | 200 Hawkins Dr Dept of Emergency Medicine, Iowa Cit, IA 52242-1009 | 2019-02-06 |
| 1821527862 | Ashley Nicole Evans | Emergency Medicine | 420 Community Dr, North Liberty, IA 52317-6706 | 2017-06-04 |
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1578827465 | Sandy Kay Clayton | Emergency Medicine | 901 Montgomery St., Medical Staff Services, Decorah, IA 52101-2325 | 2012-06-26 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on TRINITY REGIONAL MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.