Tristate Surgeons, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0038764 Issued in MD

Legal business name

TRISTATE SURGEONS, LLC

Practice address

1110 Professional Blvd
Suite 101
Hagerstown, MD 21740

Phone

(240) 513-4601

Fax

(240) 513-4602

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karl P Riggle, M.D.NPI 1831114511

Title

President

Phone

(240) 513-4601

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, MD2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Karl P Riggle, MD

  • Surgery Physician
  • Hagerstown, MD
  • NPI 1831114511

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Erin Maureen Donoghue, PA-C

  • Physician Assistant
  • Hagerstown, MD
  • NPI 1639466766
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1861544363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PROFESSIONAL BLVD",
            "address_2": "SUITE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "240-513-4601",
            "fax_number": "240-513-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PROFESSIONAL BLVD",
            "address_2": "SUITE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "240-513-4601",
            "fax_number": "240-513-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "RIGGLE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-513-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0038764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015851650002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54499100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Rehab Inc (Fyzical Therapy and Balance Center)
• Trinity Supportive Housing and Consumer Services
• Tristate Health Partners Inc.
• Tristate Neurology Center
• Tristate Physical Therapy, LLC
• Tisheena Tritle, RN
• Andrea Trowbridge
• Matthew Scott Troyer, DO
• Kellee Truax, HIS
• Trumedis Behavioral Health Services LLC

• Surgery Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.