Tristan Medical Enterprises PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TRISTAN MEDICAL ENTERPRISES PC

Practice address

465 S Washington St
North Attleboro, MA 02760-2159

Phone

(508) 316-0725

Fax

(508) 316-3060

NPI assigned

Mar 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chanelle Marie Sae-Eaw

Title

Office Manager

Phone

(508) 316-0725

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Contreras

  • Physician Assistant
  • North Attleboro, MA
  • NPI 1154919322
  NPD
• Ryan John Paul Welter, MD

  • Family Medicine Physician
  • North Attleboro, MA
  • NPI 1124198502
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1174100366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602159",
            "telephone_number": "508-316-0725",
            "fax_number": "508-316-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602159",
            "telephone_number": "508-316-0725",
            "fax_number": "508-316-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAN MEDICAL ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "SAE-EAW",
        "authorized_official_first_name": "CHANELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-316-0725"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Edward Tolfa I, LICSW
• Joseph Tong, CRNA
• Town of North Attleborough
• Thao Tran, PHARMD
• Susan E Travers, RN
• Tristan Medical Enterprises PC
• Tristan North Attleboro PC
• Trust Counseling Services
• Unique Dental Center PC
• Saketh Uppuluri

• Urgent Care Clinic/Center in North Attleboro, MA
• Providers in North Attleboro, MA by specialty
• Urgent Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.