Tri Rivers Surgical Associates, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

TRI RIVERS SURGICAL ASSOCIATES, INC.

Practice address

100 Innovation Drive
Suite 104D
Slippery Rock, PA 16057

Phone

(866) 874-7483

Fax

(412) 367-7079

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. D. Kelly Agnew, M.D.

Title

President

Phone

(412) 367-0600

Specialties & licenses 7

Addresses

Tax ID family

Tririver Surgical Assoc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Tri Rivers Surgical Associates, Inc.

  • Orthopaedic Surgery Physician
  • Butler, PA
  • NPI 1285935007
  NPD tax ID
• Tri Rivers Surgical Associates, Inc.

  • Orthopaedic Surgery Physician
  • Kittanning, PA
  • NPI 1487064358
  NPD tax ID
• Tri Rivers Surgical Associates, Inc.

  • Orthopaedic Surgery Physician
  • Saxonburg, PA
  • NPI 1538411137
  NPD tax ID
• Tri Rivers Surgical Associates, Inc.

  • Orthopaedic Surgery Physician
  • Butler, PA
  • NPI 1679862304
  NPD tax ID
• Tri Rivers Surgical Associates, Inc.

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1720402761
  NPD tax ID

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1508165994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 2120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-367-0600",
            "fax_number": "412-367-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNOVATION DRIVE",
            "address_2": "SUITE 104D",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "16057",
            "telephone_number": "866-874-7483",
            "fax_number": "412-367-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI RIVERS SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-367-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Stancik Jr., D.O.
• Ashley Elizabeth Stroupe, CRNP
• Laurel Sutterfield, MA
• Jeffrey Tompkins, PT, DPT
• Tri Rivers Physicl Therapy, LLC
• Regis H Turocy III, PT
• Glenn M Uber, DO
• Lucas Walker
• Michaelynn Wasser, LPC
• Waves of Speech, LLC

• Orthopaedic Surgery Physician in Slippery Rock, PA
• Providers in Slippery Rock, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.