TRI-STATE NEUROSURGICAL PC NPI 1629831714

NPI Information

  • NPI: 1629831714
  • Provider Name: TRI-STATE NEUROSURGICAL PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4133 GATEWAY BLVD STE 170
    NEWBURGH, IN
    ZIP 47630
  • Phone: (812) 758-4199

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NPI Details

TRI-STATE NEUROSURGICAL PC is a specialist in Newburgh, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TRI-STATE NEUROSURGICAL PC NPI is 1629831714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4133 GATEWAY BLVD STE 170
NEWBURGH, IN
ZIP 47630-950
Phone: (812) 758-4199

The provider's authorized official is David Eggers .
The authorized official title is Owner and has the following contact phone number (812) 758-4199.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 1/28/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes
2363A00000XPhysician AssistantNo
3363AS0400XPhysician AssistantSurgicalNo

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: 11/21/2025

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