NPIMap

Organization Active NPI

Tri-State Anesthesia Associates LLC

  • Anesthesiology Physician
  • Wilmington, DE
National Provider Identifier
1376692368
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C2-0006582 Issued in DE
Legal business name
TRI-STATE ANESTHESIA ASSOCIATES LLC
Practice address
2710 Centerville Rd
Suite 100
Wilmington, DE 19808-1644
Phone
(302) 999-0200
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Constance M Linn, MDNPI 1871642876
Title
Physician
Phone
(302) 999-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X C2-0006582 DE Primary

Addresses

Primary practice location

2710 Centerville Rd
Suite 100
Wilmington, DE 19808-1644

Mailing address

1032 Forest LN
Glen Mills, PA 19342-9604
Phone (302) 999-0200

Other identifiers 2

IdentifierTypeStateIssuer
2419397000OtherBLUE CROSS BLUE SHIELD
1000037328MedicaidDE

National Provider Directory

National Provider Directory

Locations

900 Foulk Rd
Wilmington, DE 19803
Phone (302) 777-4800

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1376692368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 FOREST LN",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193429604",
            "telephone_number": "302-999-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 CENTERVILLE RD",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081644",
            "telephone_number": "302-999-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-999-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C2-0006582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2419397000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037328",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.