NPIMap

Organization Active NPI

Tri-State Radiology, PC

  • Diagnostic Radiology Physician
  • Cumberland, MD
National Provider Identifier
1386730331
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRI-STATE RADIOLOGY, PC
Practice address
900 Seton Dr
Department of Radiology
Cumberland, MD 21502-1854
Phone
(301) 723-5581
Fax
(301) 723-5745
NPI assigned
Oct 5, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. John Nickolas Pappas, MD
Title
Treasurer
Phone
(301) 723-5581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

900 Seton Dr
Department of Radiology
Cumberland, MD 21502-1854

Mailing address

PO Box 3206
Lavale, MD 21504-3206
Phone (301) 723-5581

National Provider Directory

National Provider Directory

Locations

904 Seton Dr
Cumberland, MD 21502
Phone (301) 723-5020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1386730331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3206",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215043206",
            "telephone_number": "301-723-5581",
            "fax_number": "301-723-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SETON DR",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021854",
            "telephone_number": "301-723-5581",
            "fax_number": "301-723-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICKOLAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "301-723-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

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