TRI-STATE SURGICAL CENTER, LLC (NPI# 1316025760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316025760 |
| Entity Type | Organization |
| Organization Name | TRI-STATE SURGICAL CENTER, LLC |
| Practice Address |
1006 Tavern Rd Martinsburg WV 25401-2864 |
| Practice Telephone | 3042670556 |
| Mailing Telephone | 3042670556 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | DR. TROY DALE FOSTER (MEDICAL DIRECTOR/PARTNER) |
| Authorized Official Telephone | 3042670556 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
19418-23067 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6905041000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939074 | Tri-state Surgical Center, LLC | Anesthesiology | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2020-07-07 |
| Street Address |
1006 TAVERN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377263 | Thomas H Downey | Nurse Anesthetist, Certified Registered | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2005-09-21 |
| 1053939074 | Tri-state Surgical Center, LLC | Anesthesiology | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2020-07-07 |
| 1619284197 | Advanced Anesthesia Group, Pllc | Anesthesiology | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2010-09-07 |
| 1457476624 | Mercedes L Dockeney | Nurse Anesthetist, Certified Registered | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2007-03-20 |
| 1841346954 | John Michael Mcguire | Anesthesiology | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2007-01-25 |
| 1124032917 | Duong Thai Ly | Anesthesiology | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295853885 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Avenue, Suite 400, Charleston, WV 25304 | 2007-03-26 |
| 1205998648 | Regional Eye Associates, Inc | Clinic/Center | 1299 Pineview Dr, Morgantown, WV 26505 | 2006-12-14 |
| 1124099635 | Huntington Surgery Center Limited Partnership | Clinic/Center | 1201 Hal Greer Blvd, Huntington, WV 25701-3801 | 2006-02-01 |
| 1760473425 | Beckley Surgery Center, Inc | Clinic/Center | 84 Brookshire Ln, Beckley, WV 25801-6765 | 2005-11-02 |
| 1831545904 | Mgh Surgery LLC | Clinic/Center | 2000 Mon Health Medical Park Drive, Suite 2200, Morgantown, WV 26505-3494 | 2016-05-09 |
| 1023449055 | Chh Center for Surgical Weight Control | Clinic/Center | 1115 20th St Ste 101, Huntington, WV 25703-2071 | 2013-12-02 |
| 1174713382 | Greenbrier Clinic Surgery Center | Clinic/Center | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2007-07-25 |
| 1962605451 | Ultimate Health Services, Inc. | Clinic/Center | 5170 Us Rt 60 East, Huntington, WV 25705-0000 | 2007-06-11 |
| 1235288101 | West Virginia University Hospitals, Inc | Clinic/Center | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-01-09 |
| 1730296997 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Ave, Suite 400, Charleston, WV 25304-1066 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on TRI-STATE SURGICAL CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.