NPIMap

Organization Active NPI

Tri-State Occupational Medicine, Inc.

  • Independent Medical Examiner Physician
  • Huntington, WV
National Provider Identifier
1780800516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
Legal business name
TRI-STATE OCCUPATIONAL MEDICINE, INC.
Practice address
612 6TH Ave
Huntington, WV 25701-2104
Phone
(304) 525-4202
Fax
(304) 525-4231
NPI assigned
Apr 18, 2007
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
Regina Zornes
Title
Office Manager
Phone
(304) 525-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X Primary

Addresses

Primary practice location

612 6TH Ave
Huntington, WV 25701-2104

Mailing address

612 6TH Ave
Huntington, WV 25701-2104
Phone (304) 525-4202

National Provider Directory

National Provider Directory

Locations

612 6th Ave
Huntington, WV 25701
Phone (304) 525-4202

Practitioners & affiliated clinicians

Practitioners 8

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780800516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012104",
            "telephone_number": "304-525-4202",
            "fax_number": "304-525-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012104",
            "telephone_number": "304-525-4202",
            "fax_number": "304-525-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE OCCUPATIONAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZORNES",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-525-4202"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

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.