Tri-Cities Outpatient Surgery, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

178 Issued in TN

Legal business name

TRI-CITIES OUTPATIENT SURGERY, INC.

Practice address

1009 N State of Franklin Access Road
Suite B
Johnson City, TN 37604

Phone

(423) 929-7546

Fax

(423) 929-7968

NPI assigned

Aug 25, 2006

Last updated

Jun 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda S Stufflestreet

Title

Adminstrator

Phone

(423) 929-7546

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Steve Leroy Peterson, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Johnson City, TN
  • NPI 1306849500
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1942317672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N STATE OF FRANKLIN ACCESS ROAD",
            "address_2": "SUITE B",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-929-7546",
            "fax_number": "423-929-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N STATE OF FRANKLIN ACCESS ROAD",
            "address_2": "SUITE B",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-929-7546",
            "fax_number": "423-929-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES OUTPATIENT SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "STUFFLESTREET",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "423-929-7546"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "4116033",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7374735",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3739651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri Star Strength X Rehab
• Tri State Mountain Neurology Associates PC
• Tri-Cities Behavioral Therapy, LLC
• Tri-Cities Eating Disorder Therapy
• Tri-Cities Observation Services, PC
• Tri-Cities Regional Emergency Physicians, PC
• Tri-Cities Therapy & Counseling
• Tri-Cities Transportation (Brady A Lewis d/b/a Tri-Cities Transportation)
• Tri-City Pediactric Cardiology P C
• Tri-County Medical & Ostomy Supplies, Inc.

• Ambulatory Surgical Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.