Tri County Medical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TRI COUNTY MEDICAL LLC

Practice address

7611 Pershing Blvd
Kenosha, WI 53142-4317

Phone

(262) 697-3668

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Jay H Khan, DPM

Title

Owner

Phone

(262) 697-3668

Specialties & licenses 1

Addresses

Tax ID family

Tri County Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tri County Medical LLC

  • Ambulatory Surgical Clinic/Center
  • McHenry, IL
  • NPI 1194182188
  NPD tax ID

Locations

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1588041008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W CRYSTAL LAKE RD",
            "address_2": "SUITE F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504214",
            "telephone_number": "262-697-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 PERSHING BLVD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424317",
            "telephone_number": "262-697-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-697-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Townsend, M.S. CCC-SLP
• Thao Nguyen Tran, MD
• Gail A Treffinger, GAIL TREFFINGER
• Wendy Ann Trefz, LCSW, CSAC
• Aaron Karl Treloar, IDC
• Morgan Ashley Trinko
• Hillegonda Tromp, P.T.
• Trottier Chiropractic
• Marisa J. Trottier
• Michael J. Trottier, DC

• Ambulatory Surgical Clinic/Center in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.