Active NPI
Tri-State Neurosurgical PC
- Specialist
- Newburgh, IN
National Provider Identifier
1629831714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TRI-STATE NEUROSURGICAL PC
- Practice address
- 4133 Gateway Blvd Ste 170
Newburgh, IN 47630-8950 - Phone
- (812) 758-4199
- NPI assigned
- Feb 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Eggers, MD
- Title
- Owner
- Phone
- (812) 758-4199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
4133 Gateway Blvd Ste 170
Newburgh, IN 47630-8950
Mailing address
PO Box 1642
Evansville, IN 47706-0043
Phone (812) 758-4199
Other practice location 1
2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 344-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2780 Frederica St
Owensboro, KY 42301
Phone (270) 926-4100
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1629831714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1642",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477060043",
"telephone_number": "812-758-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4133 GATEWAY BLVD STE 170",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308950",
"telephone_number": "812-758-4199"
}
],
"practiceLocations": [
{
"address_1": "2780 Frederica St",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423015442",
"country_code": "US",
"telephone_number": "270-344-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRI-STATE NEUROSURGICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-01",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "EGGERS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-758-4199",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.