TRICORNE PRIMARY NERVE & JOINT, LLC (NPI# 1598164337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598164337 |
| Entity Type | Organization |
| Organization Name | TRICORNE PRIMARY NERVE & JOINT, LLC |
| Practice Address |
2200 S George St Suite W-2 York PA 17403-4594 |
| Practice Telephone | 7177473220 |
| Practice Fax Number | 7177473338 |
| Mailing Telephone | 7177473220 |
| Mailing Fax Number | 7177473338 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | DR. EARL W EDWARDS (SOLE MEMBER) |
| Authorized Official Telephone | 7177473220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
MD427825 | PA | Ambulatory Health Care Facilities |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MD427825 | PA | Ambulatory Health Care Facilities |
| N | 302R00000X | Health Maintenance Organization | MD427825 | PA | Managed Care Organizations |
| N | 305R00000X | Preferred Provider Organization | MD427825 | PA | Managed Care Organizations |
| N | 305S00000X | Point of Service | MD427825 | PA | Managed Care Organizations |
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
BE8901060 | PA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD427825 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE ID | 0090250 | 01 |
| Street Address |
2200 S GEORGE ST SUITE W-2 |
| City | YORK |
| State | PA |
| Zip Code | 17403-4594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738433 | Chandra Mohan | Specialist | 2200 S George St, Ste W-2, York, PA 17403-4594 | 2005-05-23 |
| 1275088973 | Telepsychiatry, LLC | Community/Behavioral Health | 2200 S George St, Plaza Level A1, York, PA 17403-4594 | 2016-08-23 |
| 1215246764 | Tricorne Primary Nerve & Joint | General Practice | 2200 S George St, Suite W2, York, PA 17403-4594 | 2010-10-01 |
| 1225355480 | Kidney & Hypertension Center, LLC | Specialist | 2200 S George St, Suite W-2, York, PA 17403-4594 | 2010-04-28 |
| 1376873141 | Angela S. Lutz, D.m.d., L.L.C. | Dentist | 2200 S George St, Plaza B, York, PA 17403-4594 | 2009-12-30 |
| 1740445691 | Edward K Lulo | Psychiatry & Neurology | 2200 S George St, Plaza Level, York, PA 17403-4594 | 2008-07-21 |
| 1104945294 | Richard Harootunian Md | Internal Medicine | 2200 S George St, Suite W1, York, PA 17403-4594 | 2007-03-28 |
| 1003952771 | John M Bush | Dentist | 2200 S George St, S2, York, PA 17403-4594 | 2007-01-30 |
| 1760535744 | Children's Dental Centre of York, Inc. | Dentist | 2200 S George St, Plaza B, York, PA 17403-4594 | 2007-01-21 |
| 1942353925 | Angela S. Lutz | Dentist | 2200 S George St, Plaza B, York, PA 17403-4594 | 2007-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1710262530 | The Medical Offices of Occupational Health Resources Prof Corp | Clinic/Center | 1425 Eden Rd, York, PA 17402-1507 | 2011-10-12 |
| 1275713612 | York Health Clinic | Clinic/Center | 723 Derby Dr, York, AL 36925-2121 | 2007-11-13 |
| 1346386992 | Russel H. Etter Md | Clinic/Center | 55 Wyntre Brooke Dr, York, PA 17403-4536 | 2007-01-30 |
| 1871541318 | Partners In Family Health, PC | Clinic/Center | 1550 Rodney Road, York, PA 17408 | 2006-05-05 |
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| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
| 1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
| 1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
| 1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
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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.