Organization Active NPI

Tricity Injury Clinic PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kennewick, WA
National Provider Identifier
1396504023
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
TRICITY INJURY CLINIC PLLC
Practice address
4309 W 27TH PL Ste 202
Kennewick, WA 99338-2908
Phone
(509) 591-4966
NPI assigned
Mar 15, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
John B Groner, MDNPI 1184787491
Title
Medical Director
Phone
(509) 591-4966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

4309 W 27TH PL Ste 202
Kennewick, WA 99338-2908

Mailing address

3911 W 27TH Ave
Suite 101#14
Kennewick, WA 99337

National Provider Directory

National Provider Directory

Locations

3911 W 27th Ave
Ste 10114
Kennewick, WA 99337

Practitioners & affiliated clinicians

Practitioners 2

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": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1396504023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 W 27TH AVE",
            "address_2": "SUITE 101#14",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PL STE 202",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382908",
            "telephone_number": "509-591-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICITY INJURY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "GRONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "509-591-4966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.