Tristate Health Partners Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

TRISTATE HEALTH PARTNERS INC.

Practice address

10715 Downsville Pike
Suite 103
Hagerstown, MD 21740-7240

Phone

(240) 313-9940

Fax

(240) 313-9941

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Shelly Grant

Title

Director

Phone

(240) 313-9949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1942551833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE",
            "address_2": "SUITE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "240-313-9940",
            "fax_number": "240-313-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE",
            "address_2": "SUITE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "240-313-9940",
            "fax_number": "240-313-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE HEALTH PARTNERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-313-9949"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Brooke Trecost, MSN, FNP-C
• Christina Trenton Nee, LCSW-C
• Carrie Lynne Tressler
• Tri-State Rehab Inc
• Trinity Supportive Housing and Consumer Services
• Tristate Neurology Center
• Tristate Physical Therapy, LLC
• Tristate Surgeons, LLC
• Tisheena Tritle, RN
• Andrea Trowbridge

• Exclusive Provider Organization in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Exclusive Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.