Tricorne Primary Nerve & Joint, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD427825 Issued in PA

Legal business name

TRICORNE PRIMARY NERVE & JOINT, LLC

Practice address

2200 S George St
Suite W-2
York, PA 17403-4594

Phone

(717) 747-3220

Fax

(717) 747-3338

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Earl W Edwards, M.D.

Title

Sole Member

Phone

(717) 747-3220

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1598164337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S GEORGE ST",
            "address_2": "SUITE W-2",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034594",
            "telephone_number": "717-747-3220",
            "fax_number": "717-747-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S GEORGE ST",
            "address_2": "SUITE W-2",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034594",
            "telephone_number": "717-747-3220",
            "fax_number": "717-747-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICORNE PRIMARY NERVE & JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "717-747-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "MD427825",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "MD427825",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD427825",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PA",
            "license": "BE8901060",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "MD427825",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "MD427825",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "MD427825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0090250",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tremitiere Trauma Recovery, LLC
• Matthew Joseph Trepanier, PT, DPT
• Richard C Trevino II, MD
• Steven J Triantafyllou, MD
• Tricorne Primary Nerve & Joint
• Tricounty Medical Equipment and Supply LLC
• Richard Warren Trierweiler, M.D.
• Melissa Ann Trimmer, CRNA
• Thomas H Trojian, MD
• Renee E Trombley, MA

• Primary Care Clinic/Center in York, PA
• Providers in York, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.