Tri-State Surgical Consultants Inc

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

35-03-1878P Issued in OH

Legal business name

TRI-STATE SURGICAL CONSULTANTS INC

Practice address

2123 Auburn Ave Ste 420
Cincinnati, OH 45219-2906

Phone

(513) 421-4504

Fax

(513) 421-4507

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin B Popp, M.D.

Title

Owner

Phone

(513) 421-4504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick F Brophy, MD

  • Surgical Oncology Physician
  • Winchester, MA
  • NPI 1851351159
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1790975951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 420",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-421-4504",
            "fax_number": "513-421-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 420",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-421-4504",
            "fax_number": "513-421-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE SURGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "POPP",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-421-4504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "OH",
            "license": "35-03-1878P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS INDIANA MEDICAID",
            "identifier": "100394580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Pain Management Service Inc
• Tri-State Pain Management Service Inc
• Tri-State Pain Management Service Inc
• Tri-State Pain Management Service Inc
• Tri-State Pulmonary Associates, Inc.
• Tri-State Therapeutic Services
• Lisa Denise Triance, PT
• Pamela Tribble-Phillips, OTR/L
• Angela Lanora Tribble
• Doris L Tribble, LSW LICDC-CS

• Surgical Oncology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Surgical Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.