Organization Active NPI

Tristate Healthcare Resources, LLC

  • Family Medicine Physician
  • Wheelersburg, OH
National Provider Identifier
1457530388
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRISTATE HEALTHCARE RESOURCES, LLC
Practice address
11826 Gallia Pike
Suite D
Wheelersburg, OH 45694-9119
Phone
(740) 574-8961
Fax
(740) 874-1600
NPI assigned
Oct 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Brian Hurst
Title
Owner
Phone
(740) 574-8961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11826 Gallia Pike
Suite D
Wheelersburg, OH 45694-9119

Mailing address

11826 Gallia Pike
Suite D
Wheelersburg, OH 45694-9119
Phone (740) 574-8961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1457530388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11826 GALLIA PIKE",
            "address_2": "SUITE D",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456949119",
            "telephone_number": "740-574-8961",
            "fax_number": "740-874-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11826 GALLIA PIKE",
            "address_2": "SUITE D",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456949119",
            "telephone_number": "740-574-8961",
            "fax_number": "740-874-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE HEALTHCARE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-574-8961"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.