JEFFREY REID TRIMARK (NPI# 1295781680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295781680 |
| Entity Type | Individual |
| Full Name | JEFFREY REID TRIMARK |
| Credential | MD |
| Practice Address |
6308 8th Avenue Suite 2000 Kenosha WI 53143 |
| Practice Telephone | 2626535300 |
| Practice Fax Number | 2626535412 |
| Mailing Telephone | 2626535300 |
| Mailing Fax Number | 2626535412 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34584 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32502400 | 05 |
| Street Address |
6308 8TH AVENUE SUITE 2000 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285683284 | Ihc-kenosha Radiology, LLC | Radiology | 6308 8th Avenue, Uhs Kenosha Campus, Kenosha, WI 53143-5031 | 2006-05-08 |
| 1306377023 | Andrea Alexis Gordon | Registered Nurse | 6308 8th Avenue, Ste 202, Kenosha, WI 53143 | 2017-03-23 |
| 1588866644 | Chigozie Nwamaka Nweke | Internal Medicine | 6308 8th Avenue, Kenosha, WI 53143 | 2007-06-01 |
| 1982744959 | Holly Jo Dinsmore | Speech-Language Pathologist | 6308 8th Avenue, Kenosha, WI 53143 | 2007-02-07 |
| 1508813593 | Priti Dilip Patel | Internal Medicine | 6308 8th Avenue, Ste 2000, Kenosha, WI 53143 | 2006-05-27 |
| 1679520514 | Peter Mariani | Internal Medicine | 6308 8th Avenue, Suite 108, Kenosha, WI 53143 | 2006-05-27 |
| 1477500312 | Mehjabein Yaguoob Khan | Internal Medicine | 6308 8th Avenue, Suite 108, Kenosha, WI 53143 | 2006-05-27 |
| 1326094731 | Miso Niko Miloslavic | Family Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1144276551 | Shahid Ali Atcha | Obstetrics & Gynecology | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1023064508 | Alvia Moid | Internal Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699031583 | Andrew Mazulis | Internal Medicine | 6308 8th Ave # 202, Kenosha, WI 53143-5031 | 2012-04-05 |
| 1447525563 | James Thomas Duncan Jr. | Internal Medicine | 515 74th St., Kenosha, WI 53143-5567 | 2012-03-22 |
| 1588847099 | Rodrigo B Mata IIi, M.d., S.c. | Internal Medicine | 6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 | 2007-12-07 |
| 1912928094 | Gladys Emmanuelle Hollant | Internal Medicine | 800 55th St, Kenosha, WI 53140-3733 | 2006-07-22 |
| 1013934827 | Leilane U Sta Romana | Internal Medicine | 6127 Green Bay Rd, #200, Kenosha, WI 53142-2929 | 2006-07-16 |
| 1427098722 | Giuseppe Garretto | Internal Medicine | 1020 35th St, Suite 100, Kenosha, WI 53140-1902 | 2006-06-07 |
| 1316470099 | Kristen A Chavez | Internal Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2017-04-09 |
| 1598214363 | Ihc-snf LLC | Internal Medicine | 8633 32nd Ave, Kenosha, WI 53142-5187 | 2016-09-22 |
| 1992044846 | Kelly Beth Heidle | Internal Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2013-02-12 |
| 1215227251 | Omar Kazmi | Internal Medicine | 10400 75th St, Kenosha, WI 53142 | 2011-04-11 |
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| 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.