Organization Active NPI

Three Rivers Surgical Specialists, Inc.

  • Specialist
  • Jefferson Hills, PA
National Provider Identifier
1720005671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THREE RIVERS SURGICAL SPECIALISTS, INC.
Practice address
575 Coal Valley Rd
Suite 277
Jefferson Hills, PA 15025-3730
Phone
(412) 466-8916
Fax
(412) 346-0078
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alice Rocke, MDNPI 1184641029
Title
Owner
Phone
(412) 466-8916

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

575 Coal Valley Rd
Suite 277
Jefferson Hills, PA 15025-3730

Mailing address

575 Coal Valley Rd
Suite 277
Jefferson Hills, PA 15025-3730
Phone (412) 466-8916

Other identifiers 1

IdentifierTypeStateIssuer
0018411910002MedicaidPA

National Provider Directory

National Provider Directory

Locations

575 Coal Valley Rd
Ste 277
Jefferson Hls, PA 15025
Phone (412) 466-8916

Practitioners & affiliated clinicians

Practitioners 2

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720005671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 277",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-466-8916",
            "fax_number": "412-346-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 277",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-466-8916",
            "fax_number": "412-346-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SURGICAL SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROCKE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-466-8916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018411910002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.