TRISTATE ASSOC OF INTERNAL MEDICINE (NPI# 1851525539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851525539 |
| Entity Type | Organization |
| Organization Name | TRISTATE ASSOC OF INTERNAL MEDICINE |
| Practice Address |
827 S Green River Rd Evansville IN 47715-4105 |
| Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
| Practice Telephone | 8124911307 |
| Practice Fax Number | 8124737226 |
| Mailing Telephone | 8124730181 |
| Mailing Fax Number | 8124735822 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | DR. SUDHEER GURRAM (OWNER) |
| Authorized Official Telephone | 8124911426 |
| Authorized Official Credential | M.D.,F.A.C.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01040825 | IN | Ambulatory Health Care Facilities |
| Street Address |
827 S GREEN RIVER RD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336201243 | Sudheer Gurram | Internal Medicine | 827 S Green River Rd, Evansville, IN 47715-4105 | 2006-12-15 |
| 1043444755 | Allergy and Asthma Associates of Tri-state LLC | Allergy & Immunology | 827 S Green River Rd, Evansville, IN 47715-4105 | 2009-05-08 |
| 1801042221 | Deaconess Hospital, Inc | Internal Medicine | 827 S Green River Rd, Evansville, IN 47715-4105 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1861869760 | Smith Family Medicine | Clinic/Center | 8128 Lincoln Ave, Apt. C, Evansville, IN 47715-7236 | 2015-08-26 |
| 1801171004 | Selcare LLC | Clinic/Center | 5010 Davis Lant Dr, Evansville, IN 47715-8947 | 2011-10-19 |
| 1922237536 | Functional Health, LLC | Clinic/Center | 8601 N Kentucky Ave, Suite I, Evansville, IN 47725-6371 | 2009-07-06 |
| 1811442114 | Activate Healthcare - Old National Bank | Clinic/Center | 123 Main St, Evansville, IN 47708-1447 | 2016-08-17 |
| 1295289601 | Careatc - Evansville Clinic | Clinic/Center | 1212 Saint George Rd, Evansville, IN 47711-2364 | 2016-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on TRISTATE ASSOC OF INTERNAL MEDICINE.
| 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.