Active NPI
Tri-State Specialists, LLP
- Orthopaedic Surgery Physician
- Sioux City, IA
National Provider Identifier
1902134406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TRI-STATE SPECIALISTS, LLP
- Practice address
- 2730 Pierce St Ste 300
Sioux City, IA 51104-3765 - Phone
- (712) 224-8677
- Fax
- (712) 277-1662
- NPI assigned
- Nov 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Duane K Nelson, M.D.
- Title
- President
- Phone
- (712) 224-8677
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Plastic Surgery Physician | 208200000X | |||
| Neurology Physician | 2084N0400X | |||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
2730 Pierce St Ste 300
Sioux City, IA 51104-3765
Mailing address
2730 Pierce St Ste 300
Sioux City, IA 51104-3765
Phone (712) 224-8677
National Provider Directory
National Provider DirectoryLocations
2730 Pierce St
Ste 203
Sioux City, IA 51104
Phone (712) 277-2030
2730 Pierce St
Ste B11
Sioux City, IA 51104
201 E 4th St
Ste 200
South Sioux City, NE 68776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539043200000",
"number": "1902134406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 PIERCE ST STE 300",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043765",
"telephone_number": "712-224-8677",
"fax_number": "712-277-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 PIERCE ST STE 300",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043765",
"telephone_number": "712-224-8677",
"fax_number": "712-277-1662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STATE SPECIALISTS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-23",
"last_updated": "2018-10-09",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DUANE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-224-8677",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.