The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1356706774 |
NPI Entity Type | Organization |
Provider Name |
Tristate Medical Specialists Llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 1987 Mcculloch Blvd N, Lake Havasu City, AZ, US |
Provider Mailing Address | Po Box 10966, Fort Mohave, AZ, US, 864270966 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | Joann Venger |
Official Position | OWNER/MEMBER MANAGER |
Phone | 928-788-3333 |
Taxonomy Code | 193200000X |
Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Taxonomy Code | |
Taxonomy Name | Pain Medicine Physician |
Classification | |
Group | |
Description | Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No | |||||
20605 | AZ | No | |||
No | |||||
20605 | AZ | No | |||
No | |||||
AP3760 | AZ | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
615056800 | DOL | 01 | |
079972 | AZ | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Kerri Hohn Individual |
2222 S Dobson Rd Bldg 9 |
||
M.A., N.C.C., L.P.C Robert Dale Labrum Individual |
1845 S Dobson Rd Ste 101 |
||
DR. M.D. Vincent Paul Goux Individual |
3320 N 3rd Ave |
||
Atlas Medical Systems, Pllc Organization |
3320 N 3rd Ave |
||
Tiana Elizabeth Roth Individual |
13162 W Clarendon Ave |
||
Ngalle Homes Care Organization |
Mental Illness Community Based Residential Treatment Facility |
721 E Forge Ave |
|
MR. MA, LISAC Woodrow Eugene Miller III Individual |
21085 W Park Meadows Dr |
||
Christina Fitzpatrick Individual |
1 S Church Ave Ste 1200 |
||
PA-C Abigail Jane Higgins Individual |
16611 S 40th St Ste 120 |
||
RN Abbigael Naomi Simpson Individual |
1707 W Saint Marys Rd |
||
Rehema Outpatient Treatment Center Llc Organization |
Mental Health Clinic/Center (Including Community Mental Health Center) |
1968a N Peart Rd Ste 3 |
|
MRS. LCSW Colette Reon Hardesty-tesar X Individual |
3565 E Marshall Gulch Pl |
||
MD Xiao Kristin Liang Individual |
7301 E 2nd St Ste 210 |
||
RD Haley Dawn Smith Individual |
1200 N Beaver St |
||
MD Nicole Marie Casey Individual |
3003 N 3rd St |
||
Julie Ann Roberts Individual |
335 N Alma School Rd |
||
MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
4525 E Le Marche Ave |
||
LCSW Taylor Redding Individual |
3656 W Scavenger Dr |
||
Sierra Vista Regional Health Center Medical Group Llc Organization |
5750 E Highway 90 Suite 200 |
||
PT Catherine Broadbent Individual |
23374 W Yuma Rd Ste 104 |
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