Organization Active NPI

Tri-State Neurosurgical Inc

  • Neurological Surgery Physician
  • Evansville, IN
National Provider Identifier
1760609887
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TRI-STATE NEUROSURGICAL INC
Practice address
350 W Columbia St
Ste 350
Evansville, IN 47710-5610
Phone
(812) 477-0900
Fax
(812) 477-0099
NPI assigned
Apr 19, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Christopher Sneed, M.D.NPI 1568467454
Title
Practice Manager
Phone
(812) 477-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

350 W Columbia St
Ste 350
Evansville, IN 47710-5610

Mailing address

350 W Columbia St
Ste 350
Evansville, IN 47710-5610
Phone (812) 477-0900

Other identifiers 2

IdentifierTypeStateIssuer
100242420AMedicaidIN
100242420BMedicaidIN

National Provider Directory

National Provider Directory

Locations

721 W 13th St
Ste 203
Jasper, IN 47546
Phone (812) 482-0337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1760609887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST",
            "address_2": "STE 350",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105610",
            "telephone_number": "812-477-0900",
            "fax_number": "812-477-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST",
            "address_2": "STE 350",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105610",
            "telephone_number": "812-477-0900",
            "fax_number": "812-477-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE NEUROSURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-477-0900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242420A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242420B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.