TRI-STATE SURGERY CENTER, L.L.C. (NPI# 1275530271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275530271 |
| Entity Type | Organization |
| Organization Name | TRI-STATE SURGERY CENTER, L.L.C. |
| Other Organization Name | DUBUQUE REGIONAL AMBULATORY SURGICAL CENTER, L.L.C. |
| Practice Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635844536 |
| Practice Fax Number | 5635844526 |
| Mailing Telephone | 5635844536 |
| Mailing Fax Number | 5635844526 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | BARBARA ANN PERLETH (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5635844506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
261QA1903X | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0610139 | 05 | |
| IA | BC/BS PROVIDER NUMBER | 61010 | 01 |
| Other Name | Type Code |
|---|---|
| Dubuque Regional Ambulatory Surgical Center, L.L.C. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TRI-STATE SURGERY CENTER, L.L.C. | 1500 Associates Dr, Dubuque, IA 52002-2260 |
| Street Address |
1500 ASSOCIATES DR |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757261 | Emily Burgmeier May | Nurse Practitioner | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-07-07 |
| 1104451673 | Emily Claire Kuhl | Occupational Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-03-05 |
| 1679105449 | Chelsea Leah Berry | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-02-10 |
| 1689212227 | Toni Marie Monat | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-12-13 |
| 1457905424 | Sara Elizabeth Croghan | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-07-29 |
| 1104356997 | Matthew Keith Kraciun | Family Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-14 |
| 1558890202 | Kristen Celeste Anderson | Pediatrics | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-07 |
| 1194279117 | Brittany Gosse | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-08-08 |
| 1205280468 | Naomi Hasselblad | Internal Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-04-14 |
| 1366809378 | Megan Kraciun | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841255775 | Dubuque Endoscopy Center Lc | Clinic/Center | 1515 Delhi St, Ste 500, Dubuque, IA 52001-6320 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467010736 | Mercy Surgery Center LLC | Clinic/Center | 1195 Boyson Rd Ste 3, Hiawatha, IA 52233-2214 | 2019-06-03 |
| 1649748708 | Ankeny Medical Park Surgery Center Lc | Clinic/Center | 3625 N Ankeny Blvd Ste J, Ankeny, IA 50023-4610 | 2018-11-07 |
| 1922514421 | Westown Ambulatory Surgery Center | Clinic/Center | 1300 37th St Ste 3, West Des Moines, IA 50266-1900 | 2017-12-19 |
| 1255500781 | Iowa City Ambulatory Surgical Center, LLC | Clinic/Center | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2008-02-28 |
| 1699856260 | Alegent Health - Mercy Hospital, Corning Iowa | Clinic/Center | 603 Rosary Dr, Corning, IA 50841-1683 | 2006-10-18 |
| 1083638647 | West Des Moines Ambulatory Surgical Center Inc | Clinic/Center | 2425 Westown Pkwy Ste 200, West Des Moines, IA 50266 | 2006-07-27 |
| 1902841398 | Mason City Ambulatory Surgery Center, LLC | Clinic/Center | 990 4th St Sw, Mason City, IA 50401-2861 | 2006-06-18 |
| 1881651206 | Gateway Surgery Center, L.L.C. | Clinic/Center | 841 Springdale Dr, Clinton, IA 52732-3579 | 2006-04-28 |
| 1639135346 | Surgery Centers of Des Moines Ltd | Clinic/Center | 717 Lyon St, Des Moines, IA 50309-5458 | 2006-04-21 |
| 1780651075 | Fox Eye Surgery, LLC | Clinic/Center | 1138 H Ave Ne, Cedar Rapids, IA 52402-4624 | 2006-03-05 |
| Find all providers with the same taxonomy | ||||
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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.