TRISTATE MEDICAL SPECIALISTS LLC
TRISTATE MEDICAL SPECIALISTS LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1356706774, based in Lake Havasu City, AZ. The organization lists 6 taxonomy classifications, with Pain Medicine Physician recorded as primary.
Getting there
The practice address on file is 1987 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 20605 | AZ | Neurological Surgery Physician |
| 20605 | AZ | Pain Medicine Physician |
| AP3760 | AZ | Nurse Practitioner |
This provider holds licence 20605 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pain Medicine covers
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. NUCC Health Care Provider Taxonomy, code 208VP0000X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208VP0000X | Pain Medicine Physician Pain Medicine | — | — | primary |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician Pain Medicine | — | — | |
| 207T00000X | Neurological Surgery Physician | 20605 | AZ | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | — | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | 20605 | AZ | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | — | — | |
| 363L00000X | Nurse Practitioner | AP3760 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1356706774 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 30, 2015 |
| Last updated | Jul 19, 2022 |
| Status | Active |
| Practice address |
1987 MCCULLOCH BLVD N Lake Havasu City, AZ 86403 (928) 788-3333 Fax (928) 788-3555 |
| Mailing address |
PO BOX 10966 Fort Mohave, AZ 86427 |
| Other identifiers |
615056800
· Other 079972 · Medicaid (AZ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 5 | 6 | 7 | 0 | 6 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 5 | 0 | 3 | 7 | 5 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.