Organization Active NPI

Tri-State Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Washington, PA
National Provider Identifier
1427094945
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23351501 Issued in PA
Legal business name
TRI-STATE SURGERY CENTER LLC
Practice address
80 Landings Dr
Suite 101
Washington, PA 15301-9408
Phone
(724) 225-8800
Fax
(724) 225-7909
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mrs. Kristen Spahn
Title
Finance Manager
Phone
(724) 225-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23351501 PA Primary

Addresses

Primary practice location

80 Landings Dr
Suite 101
Washington, PA 15301-9408

Mailing address

80 Landings Dr
Suite 101
Washington, PA 15301-9408
Phone (724) 225-8800

Other identifiers 2

IdentifierTypeStateIssuer
100879105001MedicaidPA
075685OtherPAPROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000596 PA Part B Supplier - Ambulatory Surgical Center 2365338233 Practice locations: Washington, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Tristate Surgery Center LLCCCN 39C0001159
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1021788Tri-State Surgery Center, LLC80 Landings Drive, Suite 101, Washington, PA 15301Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

80 Landings Dr
Ste 101
Washington, PA 15301
Phone (412) 866-7246

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1427094945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LANDINGS DR",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019408",
            "telephone_number": "724-225-8800",
            "fax_number": "724-225-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LANDINGS DR",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019408",
            "telephone_number": "724-225-8800",
            "fax_number": "724-225-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "SPAHN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "724-225-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "23351501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100879105001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "075685",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.