Tristar Health Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRISTAR HEALTH CENTER LLC

Practice address

95 Vernon St Ste 203
Worcester, MA 01610-1989

Phone

(508) 373-2041

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Michael Nelson

Title

Manager

Phone

(508) 314-9896

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1508632605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 VERNON ST STE 203",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 VERNON ST STE 203",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101989",
            "telephone_number": "508-373-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-314-9896"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triple Misi Solutions LLC
• Doris F. Tripp-Macpherson, LICSW
• Carol Ann Tripp-Tebo, LMHC
• Susan Anne Tripp, MS, RD, LDN, CNSC
• Walter Trisdale, MS, ATC
• Jon Trister, M.D.
• Susan Tritell, PSY.D.
• Meghna C Trivedi, M.D.
• Michelle K Trivedi, M.D.
• Nitin Trivedi, M.D.

• Family Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.