TRI-STATE MEDICAL GROUP INC (NPI# 1922186006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922186006 |
| Entity Type | Organization |
| Organization Name | TRI-STATE MEDICAL GROUP INC |
| Practice Address |
1603 Morgan St Suite 7 Keokuk IA 52632-3433 |
| Mailing Address |
400 N 17th St Keokuk IA 52632-3452 |
| Practice Telephone | 3195245734 |
| Practice Fax Number | 3195245758 |
| Mailing Telephone | 3195245734 |
| Mailing Fax Number | 3195245758 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. ALLAN W. ZASTROW (CEO) |
| Authorized Official Telephone | 3195247150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25523 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326027756 | Tri-state Medical Group Inc | Urology | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3433 | 2006-01-13 |
| 1689653016 | Tri-state Medical Group Inc | Surgery | 400 N 17th St, Keokuk, IA 52632-3452 | 2006-01-13 |
| Street Address |
1603 MORGAN ST SUITE 7 |
| City | KEOKUK |
| State | IA |
| Zip Code | 52632-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374254 | Billy Jo Alderton | Nurse Practitioner | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3430 | 2005-05-27 |
| 1174018592 | Katelyn Grace Thurman | Nurse Practitioner | 1603 Morgan St, Keokuk, IA 52632-3430 | 2018-06-27 |
| 1710381835 | Kathryn Tripp | Nurse Practitioner | 1603 Morgan St, Suite 2, Keokuk, IA 52632-3430 | 2014-10-17 |
| 1609144518 | Sripal Aditya Padam | Internal Medicine | 1603 Morgan St, Suite #2, Keokuk, IA 52632-3430 | 2011-12-06 |
| 1407139793 | Billy J Alderton Womens Health Practice LLC | Clinical Nurse Specialist | 1603 Morgan St, Keokuk, IA 52632-3430 | 2011-09-22 |
| 1124342449 | Bhb Enterprises, Inc. | Audiologist | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3430 | 2010-03-15 |
| 1073755609 | Melodie Harrington | Audiologist | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3430 | 2009-03-27 |
| 1093916009 | James F. Holsinger M.d. | Clinical Medical Laboratory | 1603 Morgan St, Suite #3, Keokuk, IA 52632-3433 | 2007-05-29 |
| 1659419950 | A. B. Degala, M.d. | Durable Medical Equipment & Medical Supplies | 1603 Morgan St, Suite 5, Keokuk, IA 52632-3433 | 2007-02-01 |
| 1760566327 | James F Holsinger | Family Medicine | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3433 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265911721 | Eugenia Kay Petersen | Speech-Language Pathologist | 20 Village Circle, Keokuk Iowa, Keokuk, IA 52632 | 2018-08-07 |
| 1578984902 | Cody Kite-warth | Physical Therapy Assistant | 20 Village Circly, Keokuk, IA 52632 | 2014-01-03 |
| 1801228234 | Nicole Fett | Occupational Therapy Assistant | 20 Village Circle, Keokuk, IA 52632 | 2013-08-08 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1225241052 | Kenneth Blaine Messer | Dentist | 1624 Morgan Street, Keokuk, IA 52632 | 2007-05-08 |
| 1417011024 | Donald Loren Steingreaber | Dentist | 307 N 17th, Keokuk, IA 52632 | 2006-12-20 |
| 1265501316 | John A Wilde | Dentist | 1626 Morgan St, Suite 3, Keokuk, IA 52632 | 2006-11-06 |
| 1639250293 | Charles F Eddingfield Md | General Practice | 1610 Morgan Street, Keokuk, IA 52632 | 2006-10-18 |
| 1861582835 | Nick John Daskalos | Dentist | 28 N 4th St, Keokuk, IA 52632 | 2006-10-13 |
| 1831209683 | Edward Martin Mcgreevey | Dentist | 1624 Morgan St, Keokuk, IA 52632 | 2006-08-30 |
| Find all providers in zip 52632 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467532929 | John W Lee | Family Medicine | 484 Messenger Rd, Keokuk, IA 52632-2115 | 2006-10-17 |
| 1134152531 | James F Holsinger Md PC | Family Medicine | 1603 Morgan Street, Suite 3, Keokuk, IA 52632 | 2006-07-08 |
| 1447628540 | Bfm Keokuk Clinic, LLC | Family Medicine | 1414 Main St, Keokuk, IA 52632-3926 | 2015-09-04 |
| 1881038834 | Misty D Bowen | Family Medicine | 1414 Main St, Keokuk, IA 52632-3926 | 2013-04-22 |
| 1831353291 | Dr. John Lee Md PC | Family Medicine | 484 Messenger Rd, Keokuk, IA 52632-2115 | 2008-07-15 |
| 1760566327 | James F Holsinger | Family Medicine | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3433 | 2006-10-24 |
| 1386617249 | Lionel Joe Smith | Family Medicine | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3430 | 2006-02-10 |
| 1558340968 | Community Health Centers of Southeastern Iowa Inc | Family Medicine | 400 N 17th St, Keokuk, IA 52632-3452 | 2006-01-13 |
| 1669451308 | William Joseph Schulte | Family Medicine | 1603 Morgan St, Suite 6, Keokuk, IA 52632-3433 | 2006-01-11 |
| 1902809536 | Kiran Bhaskar Khanolkar | Family Medicine | 400 N 17th St, Keokuk, IA 52632-3452 | 2005-05-27 |
| Find all providers in KEOKUK | ||||
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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.