TRI-STATE PEDIATRIC ASSOCIATES LLC – NPI #1750596656
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

TRI-STATE PEDIATRIC ASSOCIATES LLC is a provider located in EVANSVILLE, IN. NPPES has assigned the NPI number 1750596656 to TRI-STATE PEDIATRIC ASSOCIATES LLC on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on Jun 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI-STATE PEDIATRIC ASSOCIATES LLC below.

NPI Profile for
TRI-STATE PEDIATRIC ASSOCIATES LLC

NPI Number
1750596656
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI-STATE PEDIATRIC ASSOCIATES LLC
Primary location
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714-0550
Phone: (812) 485-7784 Fax: (812) 485-4372
Mailing address
PO BOX 5246
EVANSVILLE, IN 47716-5246
Phone: (812) 485-7784 Fax: (812) 485-4372
Organization Subpart
No
Authorized Official
BRUCE WILLIAMS
CEO
Phone: (812) 485-6695
Updated
Identifiers

Identifiers for TRI-STATE PEDIATRIC ASSOCIATES LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN100437790B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.