Tri-State Visiting Home Physicians

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MD436175 Issued in PA

Legal business name

TRI-STATE VISITING HOME PHYSICIANS

Practice address

1200 Veterans Hwy
Ste 836
Bristol, PA 19007-2525

Phone

(215) 458-7114

Fax

(215) 458-7994

NPI assigned

Jul 9, 2013

Last updated

Dec 15, 2013By 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

Dr. Bernard Okem Ogon, M.D

Title

Physician/ Medical Director

Phone

(773) 983-2866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387065600000",
    "number": "1245671015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ANTHONY DR",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080165155",
            "telephone_number": "609-479-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VETERANS HWY",
            "address_2": "STE 836",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072525",
            "telephone_number": "215-458-7114",
            "fax_number": "215-458-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE VISITING HOME PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-12-15",
        "status": "A",
        "authorized_official_last_name": "OGON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "OKEM",
        "authorized_official_title_or_position": "PHYSICIAN/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-983-2866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD436175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter G. Tolodziecki
• Joseph C Tomasetti, M.P.T.
• Tower Leasing Co., LLC (Silver Lake Healthcare Center)
• Transcend Health
• Tri-State Clinical Research Trials, LLC (Tri-State Clinical Research Trials)
• Atul D Trivedi, MD
• Uwp LLC
• Stephen Varghese, PHYSICAL THERAPIST
• Ashok Abraham Varughese, MD
• Vedra

• Geriatric Medicine (Family Medicine) Physician in Bristol, PA
• Providers in Bristol, PA by specialty
• Geriatric Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.