Tristate Orthopaedic Treatment Center, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRISTATE ORTHOPAEDIC TREATMENT CENTER, INC

Practice address

10547 Montgomery Rd
Suite 400
Cincinnati, OH 45242-4418

Phone

(513) 791-6611

Fax

(513) 791-6788

NPI assigned

Sep 12, 2006

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clyde E Henderson, MD

Title

President

Phone

(513) 791-6611

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1174627889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10547 MONTGOMERY RD",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424418",
            "telephone_number": "513-791-6611",
            "fax_number": "513-791-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 MONTGOMERY RD",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424418",
            "telephone_number": "513-791-6611",
            "fax_number": "513-791-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE ORTHOPAEDIC TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-791-6611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristate Centers for Sight, Inc.
• Tristate Img (Imaging Medical Group) Inc
• Tristate Maternal Fetal Medicine Inc
• Tristate Mobile Dental
• Tristate Nemt Services LLC
• Tristate Orthopaedic Treatment Center, Inc
• Tristate Orthopaedic Treatment Center, Inc.
• Tristate Sleep and Pain Management
• Tristate Urologic Services PSC Inc (The Urology Group)
• Tristate Vein Centers LLC

• Durable Medical Equipment & Medical Supplies in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.