TRI-STATE MEDICAL SPECIALISTS LLC


Address: 9555 South Eastern Avenue, Ste. 210, Henderson, NV 89121
Phone: 9287883333

TRI-STATE MEDICAL SPECIALISTS LLC (NPI# 1811464118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811464118
Entity Type Organization
Organization Name TRI-STATE MEDICAL SPECIALISTS LLC
Practice Address 9555 South Eastern Avenue
Ste. 210
Henderson
NV 89121
Mailing Address Po Box 10966
Fort Mohave
AZ 86427-0966
Practice Telephone 9287883333
Practice Fax Number 9287883555
Mailing Telephone 9287883333
Mailing Fax Number 9287883555
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Authorized Official Name BENJAMIN H VENGER (PROVIDER)
Authorized Official Telephone 9287883333
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 1649598426 05

Other Provider/Organization Names

Other Name Type Code
Tri-State Pain Institute Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023302643 Tri-state Medical Specialists LLC Non-Pharmacy Dispensing Site 1510 Wagon Wheel Lane, Suite 110, Fort Mohave, AZ 86426-6698 2011-05-31
1649598426 Tri-state Medical Specialists LLC Anesthesiology 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698 2010-05-04

Office Location

Street Address 9555 SOUTH EASTERN AVENUE
STE. 210
City HENDERSON
State NV
Zip Code 89121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598379117 Western State Behavioral Health and Psychiatric Services Psychologist 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 2020-09-01
1962025155 Arieste Diaz Perez Clinic/Center 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 2020-05-21
1366071904 Vanesa Silva Behavior Technician 4714 Flamigo Rd, Las Vegas, NV 89121 2020-04-06
1053955732 Valente Solis Santiago Technician 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 2019-11-05
1750938981 Ken Ernst Rehabilitation Practitioner Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 2019-08-22
1902450455 Tracey Anora Henry Counselor 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 2019-08-01
1679127096 Wilma Guadalupe Nunez Chore Provider 2860 East Flamingo, Suite C, Las Vegas, NV 89121 2019-07-25
1487213807 Karla Susana Ayala Chore Provider 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 2019-06-10
1447819164 Jovita Garcia-perez Chore Provider 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 2019-06-06
1164081972 Maria Isabel Castellanos Gonzalez Chore Provider 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 2019-06-06
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184111890 Pain Center of Henderson LLC Pain Medicine 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 2018-04-18
1487072674 Daniel L. Burkhead, M.d. Ltd Pain Medicine 8955 S. Pecos Rd, Suite 1b, Henderson, NV 89074 2014-04-03
1497271399 Center for Wellness and Pain Care of Las Vegas Inc Pain Medicine 1681 W Horizon Ridge Pkwy, Henderson, NV 89012-3494 2017-08-22
1235363839 Benjamin Edward Smith Pain Medicine 3135 Zion Rd, Suite B, Henderson, KY 42420-9204 2009-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548558810 F. Akioyame Medical Consultant Inc Pain Medicine 4903 Vegas Dr., Ste 102, Las Vegas, NV 89108-2367 2011-07-20
1245479773 Nu Wave Eswt, LLC Pain Medicine 4510 West Diablo Ave, Suite A110, Las Vegas, NV 89118 2009-02-06
1407898836 Firooz Mashhood Md A Professional Corporation Pain Medicine 5440 W Sahara Ave Ste 104, Las Vegas, NV 89146-0363 2006-06-11
1558352187 Warren Lynn Wheeler Pain Medicine 4141 Swenson St, Las Vegas, NV 89119-6718 2005-11-02
1043870199 Psychiatric Management, LLC Pain Medicine 2725 S Jones Blvd Ste 104, Las Vegas, NV 89146-5605 2019-06-19
1528532223 Garielle Kara Martinez Pain Medicine 5741 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5622 2019-01-15
1447760954 R&d Medical Group, LLC Pain Medicine 4270 S Decatur Blvd Ste A2, Las Vegas, NV 89103-6840 2017-10-10
1427590694 Epion Institute for Spine and Joint Pain Pain Medicine 5740 S Eastern Ave Ste 100, Las Vegas, NV 89119-3037 2016-11-04
1942657473 Living Life Medical Center LLC Pain Medicine 7720 W Sahara Ave, Ste 111, Las Vegas, NV 89117-2799 2016-05-13
1619348422 Holistic Health Center of Reno Pain Medicine 890 Mill St, 200, Reno, NV 89502-1442 2015-10-19
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Competitor

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City HENDERSON
Zip Code 89121

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Dataset Information

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.

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