Active NPI
Tri-State Radiology, PC
- Diagnostic Radiology Physician
- Cumberland, MD
National Provider Identifier
1386730331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. John Nickolas Pappas, MD
- Title
- Treasurer
- Phone
- (301) 723-5581
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Cumberland, MD
- NPI 1467490797
Diagnostic Neuroimaging
-
- General Practice Physician
- Cumberland, MD
- NPI 1053310078
-
- Vascular & Interventional Radiology Physician
- Irvine, CA
- NPI 1972543296
National Provider Directory
National Provider DirectoryLocations
915 Bishop Walsh Rd
Lavale, MD 21502
Phone (301) 724-7277
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010353000 | Medicaid | WV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2008.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010353000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
- Cecilia Ann Trent, FNP-BC
- Tri-State Community Health Center-Hosp Physicians Practice
- Tri-State Community Health Center, Inc
- Tri-State Community Health Center, Inc
- Tri-State Community Health Center, Inc
- Trio Medical Solutions LLC
- Tristate Hand and Occupational Therapy Inc
- Tristate Home Medical, L.L.C.
- Randy R. Trumbule, R.PH.
- Katherine Marie Turnbull, RPH
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.