Active NPI
Tristan Associates
- Diagnostic Radiology Physician
- Lewisburg, PA
National Provider Identifier
1043277338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TRISTAN ASSOCIATES
- Practice address
- 120 Hamm Dr
Lewisburg, PA 17837 - Phone
- (570) 522-9300
- Fax
- (570) 522-9304
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Deloia Jr.
- Title
- Ceo Tristan Associates
- Phone
- (717) 652-6105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
120 Hamm Dr
Lewisburg, PA 17837
Mailing address
4520 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 652-6105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA9270 | Other | PA | RAILROAD MEDICARE |
| 0006719450013 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
120 Hamm Dr
Lewisburg, PA 17837
Phone (570) 522-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1043277338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17111",
"telephone_number": "717-652-6105",
"fax_number": "717-652-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HAMM DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-522-9300",
"fax_number": "570-522-9304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTAN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "DELOIA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO TRISTAN ASSOCIATES",
"authorized_official_telephone_number": "717-652-6105",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA9270",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006719450013",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
- Raymond John Tomaszewski, CRNA
- TR Enterpise Inc (Kidswork)
- Laurie Wright Treaster, PA-C
- Brenda Sue Trego, C.N.A
- Tricounty Medical Equipment and Supply, LLC (Young's Medical Equipment)
- Tristan Associates (Susquehanna Valley Imaging)
- Angela M Trop, LCSW
- Tricia Troutman
- Jennifer Troxell, LCSW
- Elizabeth Ann True, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.