Tristate Pathology and Forensic Services LLC
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Lawrenceburg, IN
NPI 1649720244 · NPPES record last updated Oct 6, 2016
Key facts
- NPI
- 1649720244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- TRISTATE PATHOLOGY AND FORENSIC SERVICES LLC
- Practice address
- 600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751 - Phone
- (841) 253-7101
- NPI assigned
- Oct 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Gregory Heaton
- Title
- President
- Phone
- (812) 801-0574
Practitioners 118
-
Gregory Heaton, MD
-
George L. Alcorn, MD
-
Jenna Aleea Ali, M.D
-
Mandy Corinne Althoff, APRN
-
Jamie Leigh Baker, FNP
-
April Y Barr, APRN
-
Bradley B Bell, MD
-
Susan M Berns, NNP
-
Lisa Christine Blevens, APRN
-
Gabriel Adam Borisuk, APRN
-
Andrea Grace Casey, APRN
-
Mark Leon Charpentier, M.D.
-
Stephanie L Copeland, APRN
-
Melissa H Courtney, CNM
-
Paul W Cronen Jr., M.D.
-
Deborah Jean Dilk, APRN
-
Madalyn Doublett, D.O
-
Thomas C Eckert, M.D.
-
John Bernard Eifler Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170310000578 | IN | Part B Supplier - Clinic/Group Practice | 7113201120 |
Receives reassigned benefits from 2 practitioners Practice locations: Madison, IN; Seymour, IN; Lawrenceburg, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes |
Addresses
Primary practice location
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other providers in Lawrenceburg, IN
- Trihealth Physician of Indiana, Inc
- Trihealth Physicians of Indiana Inc
- Trihealth Physicians of Indiana, Inc
- Trihealth Physicians of Indiana, Inc.
- Trihealth Physicians of Indiana, Inc.
- Joseph Uehlein
- Maury Joshua Uhlmansiek
- Anuradha Venkat
- Kerry Anne Verme
- Voca of Indiana LLC
All providers in Lawrenceburg, IN · Anatomic Pathology & Clinical Pathology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.