Tri-State Clinical Research Trials, LLC

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

TRI-STATE CLINICAL RESEARCH TRIALS, LLC

Practice address

1303 Veterans Hwy
Bristol, PA 19007-2514

Phone

(215) 458-7114

Fax

(215) 458-7994

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Ogon, MDNPI 1255509873

Title

Medical Director

Phone

(773) 983-2866

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri-State Clinical Research Trials Doing business as

Practitioners 1

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

• Bernard Okem Ogon, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • King of Prussia, PA
  • NPI 1255509873
  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1447726807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072514",
            "telephone_number": "215-458-7114",
            "fax_number": "215-458-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072514",
            "telephone_number": "215-458-7114",
            "fax_number": "215-458-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CLINICAL RESEARCH TRIALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "OGON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-983-2866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028959680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Clinical Research Trials",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy E Toler, CRNA
• Peter G. Tolodziecki
• Joseph C Tomasetti, M.P.T.
• Tower Leasing Co., LLC
• Transcend Health
• Tri-State Visiting Home Physicians
• Atul D Trivedi, MD
• Uwp LLC
• Stephen Varghese, PHYSICAL THERAPIST
• Ashok Abraham Varughese, MD

• Research Clinic/Center in Bristol, PA
• Providers in Bristol, PA by specialty
• Research Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.