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TRI-STATE ORTHOPAEDIC SURGEONS INC. NPI 1073501003


NPI Information

NPI: 1073501003
Provider Name: TRI-STATE ORTHOPAEDIC SURGEONS, INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
225 CROSSLAKE DR
EVANSVILLE, IN
ZIP 47715
Phone: (812) 477-1558
Get Directions

TRI-STATE ORTHOPAEDIC SURGEONS, INC. is an orthopaedic surgery in Evansville, IN. The provider is 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. TRI-STATE ORTHOPAEDIC SURGEONS, INC. NPI is 1073501003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

225 CROSSLAKE DR
EVANSVILLE, IN
ZIP 47715-198
Phone: (812) 477-1558

The provider's authorized official is Philip Rawley .
The authorized official title is Ceo and has the following contact phone number (812) 477-1558.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 10/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2213E00000XPodiatristNo
3213ES0103XPodiatristFoot & Ankle SurgeryNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5363A00000XPhysician AssistantNo
6363AM0700XPhysician AssistantMedicalNo
7363L00000XNurse PractitionerNo
8363LF0000XNurse PractitionerFamilyNo
9207X00000XOrthopaedic Surgery50000637AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000071424OTHERINDIANAANTHEM
2100241560AMEDICAIDINDIANA
3123637OTHERHEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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