TRI RIVERS SURGICAL ASSOCIATES, INC. (NPI# 1508165994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508165994 |
| Entity Type | Organization |
| Organization Name | TRI RIVERS SURGICAL ASSOCIATES, INC. |
| Practice Address |
100 Innovation Drive Suite 104d Slippery Rock PA 16057 |
| Mailing Address |
9104 Babcock Blvd Suite 2120 Pittsburgh PA 15237-5818 |
| Practice Telephone | 8668747483 |
| Practice Fax Number | 4123677079 |
| Mailing Telephone | 4123670600 |
| Mailing Fax Number | 4123677079 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |
| Authorized Official Name | DR. D. KELLY AGNEW (PRESIDENT) |
| Authorized Official Telephone | 4123670600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598821936 | Tri Rivers Surgical Associates, Inc. | Family Medicine | 142 Clearview Cir, Butler, PA 16001-1565 | 2006-12-29 |
| 1487064358 | Tri Rivers Surgical Associates, Inc. | Orthopaedic Surgery | 1 Nolte Dr, 1st Flr Cardio/pulmonary Suite, Kittanning, PA 16201-7111 | 2014-05-01 |
| 1720402761 | Tri Rivers Surgical Associates, Inc. | Radiology | 7500 Brooktree Rd, Wexford, PA 15090-9254 | 2014-02-11 |
| 1538411137 | Tri Rivers Surgical Associates, Inc. | Family Medicine | 101 Alwine Road, Suite 208, Saxonburg, PA 16056 | 2012-10-05 |
| 1679862304 | Tri Rivers Surgical Associates, Inc. | Family Medicine | 127 Oneida Valley Rd, Suite 302, 3rd Floor, Butler, PA 16001-2239 | 2011-04-04 |
| 1285935007 | Tri Rivers Surgical Associates, Inc. | Family Medicine | 480 E Jefferson St, Suite A, Butler, PA 16001-4780 | 2010-11-10 |
| 1639377062 | Tri Rivers Surgical Associates, Inc. | Physical Medicine & Rehabilitation | 815 Freeport Road, Upmc St. Margaret, Pittsburgh, PA 15215 | 2007-07-06 |
| 1679771091 | Tri Rivers Surgical Associates, Inc. | Physical Medicine & Rehabilitation | 301 1st St, Suite 100, Butler, PA 16001-4756 | 2007-07-06 |
| 1326104761 | Tri Rivers Surgical Associates, Inc. | Orthopaedic Surgery | 6998 Crider Rd, Suite 110, Mars, PA 16046-2306 | 2006-12-29 |
| Street Address |
100 INNOVATION DRIVE SUITE 104D |
| City | SLIPPERY ROCK |
| State | PA |
| Zip Code | 16057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679563530 | Michael A Mcdonald | Family Medicine | 100 Innovation Drive, Suite 101, Slippery Rock, PA 16057-0000 | 2005-10-24 |
| 1104124916 | Butler Medical Providers | Family Medicine | 100 Innovation Drive, Suite 101, Slippery Rock, PA 16057 | 2011-03-02 |
| 1245451715 | Megan Renee Nash | Family Medicine | 100 Innovation Drive, Suite 101, Slippery Rock, PA 16057-0000 | 2007-05-01 |
| 1053535989 | Thomas James Stancik Jr. | Family Medicine | 100 Innovation Drive, Suite 101, Slippery Rock, PA 16057-0000 | 2007-04-12 |
| 1174503437 | Robin L Plank | Family Medicine | 100 Innovation Drive, Suite 101, Slippery Rock, PA 16057-0000 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427596162 | Michelle Barron | Registered Nurse | 204 Campus Drive, Mclachlan Student Health Center, Slippery Rock, PA 16057 | 2017-02-02 |
| 1386191427 | Adam Mcdowell | Specialist/Technologist | 154 Barron Rd, Slippery Rock, PA 16057 | 2016-09-07 |
| 1457699746 | Tri Rivers Physicl Therapy, LLC | Physical Therapist | 1000 Innovation Drive, Suite 104, Slippery Rock, PA 16057 | 2013-01-22 |
| 1134399835 | David L Gordley Dds LLC | Dentist | 211 Grove City Rd, Slippery Rock, PA 16057 | 2008-03-10 |
| 1124171632 | Allied Dental Group | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2007-01-19 |
| 1831273226 | Bonnie J Siple | Specialist/Technologist | 112 West Gym, Slippery Rock University of Pa, Slippery Rock, PA 16057 | 2006-10-24 |
| 1245292051 | Michael Scott Zema | Specialist/Technologist | Dept. of Exercise and Rehabilitative Sciences, Room 117 West Gym, Slippery Rock, PA 16057 | 2006-04-05 |
| 1871570747 | Daniel Ferguson | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057 | 2005-12-30 |
| 1386639706 | Paul Andrew Cacolice | Specialist/Technologist | 304 Patterson Hall, Exercise and Rehab Sciences, Slippery Rock University, Slippery Rock, PA 16057 | 2005-09-12 |
| 1417203480 | Brent Kanar | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2012-07-27 |
| Find all providers in zip 16057 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
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|---|---|---|---|---|
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| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
| City | SLIPPERY ROCK |
| Zip Code | 16057 |
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| 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.