TRIMARK PHYSICIANS GROUP INC (NPI# 1376869826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376869826 |
| Entity Type | Organization |
| Organization Name | TRIMARK PHYSICIANS GROUP INC |
| Other Organization Name | TRIMARK RADIOLOGY |
| Practice Address |
802 Kenyon Rd Fort Dodge IA 50501-5740 |
| Practice Telephone | 5155746605 |
| Practice Fax Number | 5155738710 |
| Mailing Telephone | 5155746605 |
| Mailing Fax Number | 5155738710 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-12-23 |
| Authorized Official Name | MICHAEL J DEWERFF (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5155746603 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIMARK PHYSICIANS GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Trimark Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881841161 | Trimark Physicians Group Inc | Durable Medical Equipment & Medical Supplies | 1340 Lake St, Spirit Lake, IA 51360-1100 | 2008-08-19 |
| 1467439117 | Trimark Physicians Group Inc | Clinic/Center | 625 L St, Fort Dodge, IA 50501-5706 | 2005-12-23 |
| 1528044344 | Trimark Physicians Group Inc | Clinic/Center | 101 N Main, Fonda, IA 50540-7729 | 2005-12-22 |
| 1922084755 | Trimark Physicians Group Inc | Clinic/Center | 307 Highway 10, Laurens, IA 50554-1307 | 2005-12-22 |
| 1679559777 | Trimark Physicians Group Inc | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2005-12-20 |
| 1689650764 | Trimark Physicians Group Inc | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2005-12-20 |
| 1922084029 | Trimark Physicians Group Inc | Clinic/Center | 301 Highland Ave, Sac City, IA 50583-2411 | 2005-12-20 |
| 1467528018 | Trimark Physicians Group Inc | Nurse Practitioner | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2006-11-27 |
| 1831176536 | Trimark Physicians Group Inc | Clinical Medical Laboratory | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2005-12-23 |
| 1659358364 | Trimark Physicians Group Inc | Durable Medical Equipment & Medical Supplies | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2005-12-23 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609012145 | Kfl Radiology Plc | Radiology | 1002 River Forest Ct, Fort Dodge, IA 50501-7019 | 2009-01-06 |
| 1821367301 | Trimark Physicians Group | Radiology | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2011-12-29 |
| 1073571873 | Medical Imaging & Radiology Associates, LLP | Radiology | 625 L St, Fort Dodge, IA 50501-5706 | 2006-05-02 |
| 1336126457 | Raymond D Schamel | Radiology | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411547 | Robert Picchiotti | Radiology | 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 | 2014-01-31 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1447400288 | Sarah Pauley | Radiology | Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2008-09-29 |
| 1982869764 | Khaled Ali Hamada | Radiology | 801 Fifth Street, Sioux City, IA 51101-1326 | 2008-07-22 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
| 1609921857 | Radiology Associates of Ottumwa, P.C. | Radiology | Highway 1 North, Keosauqua, IA 52565 | 2007-01-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
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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.