Tri State Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19489 Issued in NE

Legal business name

TRI STATE SURGERY PC

Practice address

1112 S 113TH CT
Omaha, NE 68144-1857

Phone

(402) 334-9171

Fax

(402) 895-5060

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Ardith A Ryberg, M.D.

Title

President

Phone

(402) 334-9171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1881738995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S 113TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441857",
            "telephone_number": "402-334-9171",
            "fax_number": "402-895-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S 113TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441857",
            "telephone_number": "402-334-9171",
            "fax_number": "402-895-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "RYBERG",
        "authorized_official_first_name": "ARDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-334-9171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "19489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Treves, MD
• Jennifer Trevillion
• Tama Trewet, RDH
• Pamela S Trewhitt, APRN
• Alfred Trexler
• Triba Chiropractic Clinic, P.C.
• Thomas A Triba, DC
• Antoinette Louise Tribulato, M.D.
• Jennifer L Triebwasser
• Bayli Triggs, MS, LIMHP, LICSW

• Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.