TRI-STATE SURGICAL CONSULTANTS INC (NPI# 1790975951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790975951 |
| Entity Type | Organization |
| Organization Name | TRI-STATE SURGICAL CONSULTANTS INC |
| Practice Address |
2123 Auburn Ave Ste 420 Cincinnati OH 45219-2906 |
| Practice Telephone | 5134214504 |
| Practice Fax Number | 5134214507 |
| Mailing Telephone | 5134214504 |
| Mailing Fax Number | 5134214507 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | DR. MARTIN B POPP (OWNER) |
| Authorized Official Telephone | 5134214504 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
35-03-1878P | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | EDS INDIANA MEDICAID | 100394580 | 01 |
| Street Address |
2123 AUBURN AVE STE 420 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184691230 | Jennifer Bryna Katz Manders | Surgery | 4440 Red Bank Road, Suite 200, Cincinnati, OH 45227-2172 | 2006-03-07 |
| 1033608732 | Rebecca Mourne | Surgery | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2018-05-08 |
| 1124345905 | Gregory Charles Wilson | Surgery | 234 Goodman St, Cincinnati, OH 45219 | 2010-05-03 |
| 1942237318 | Kelly Marie Mclean | Surgery | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2006-06-28 |
| 1205804846 | Jeffrey Sussman | Surgery | 234 Goodman St, Barrett Center, Ml 0772, Cincinnati, OH 45267-1000 | 2006-03-09 |
| 1265400238 | Elizabeth Shaughnessy | Surgery | 234 Goodman St, Barrett Center, Ml 0772, Cincinnati, OH 45267-1000 | 2006-03-08 |
| 1336110030 | Syed Arif Ahmad | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-01-30 |
| 1548250319 | Rod Leon Flynn | Surgery | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2005-10-24 |
| 1245226638 | Martin B Popp | Surgery | 2123 Auburn Ave, Suite 420, Cincinnati, OH 45219-2906 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776454 | John Hart Raaf | Surgery | 12501 Fairhill Rd, Cleveland, OH 44120-1017 | 2013-09-08 |
| 1184816290 | Rebecca L. Glaser | Surgery | 9530 Cutlers Trce, Dayton, OH 45458-9161 | 2007-08-13 |
| 1568562031 | Ahmad H. Shatila | Surgery | 18660 East Bagly Rd, Bldg #2 Suite #305, Middleburg Heights, OH 44130 | 2006-09-25 |
| 1962511998 | Bridget A. Oppong | Surgery | 1145 Olentangy River Rd Fl 3, Columbus, OH 43212-3117 | 2006-08-30 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1497715890 | Helen Catherine Mabry | Surgery | 3120 Glendale Avenue, Toledo, OH 43614-5811 | 2006-03-28 |
| 1548259492 | Brenda Jeanne Sickle-santanello | Surgery | 170 Northwoods Blvd Ste 210, Columbus, OH 43235-4711 | 2005-10-13 |
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1306491626 | Tasadooq Hussain | Surgery | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-08-04 |
| 1124580204 | Jessica Desalvo | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on TRI-STATE SURGICAL CONSULTANTS INC.
| 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.